| 958 |
PRUITTHEALTH- BAMBERG |
425104 |
439 NORTH STREET |
BAMBERG |
SC |
29003 |
2020-01-10 |
880 |
D |
1 |
1 |
S0WQ11 |
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** > Amended February 11, 2020 Based on record review, observation, interview, and review of facility policies titled Infection Control-Linen and Laundry, Infection Control Prevention and Control Activities, Infection Control-Linen and Laundry and information from ECOLAB, the facility failed to ensure infection control procedures were adhered to for one of one laundry observation and 2 of 2 handwashing observations. During observation of the laundry, staff was observed to carry a soiled gown close to his/her uniform, no separation between clean and soiled items in the personal laundry room. In addition, two observations were made of staff entering a soiled utility room and exiting without washing or sanitizing his/her hands. The findings included: During observation of the laundry on [DATE] at 8:30 AM, Laundry Staff #1 was observed after removing a soiled gown to hold it close to his/her uniform. Observation of the laundry for personal care items revealed one door entering into a small laundry room. To the right of the door soiled items and washers were observed. To the left of the door clean items and dryers were observed. Staff was observed entering the laundry with the soiled bin and clean, uncovered items were stored within 6 inches of the doorway. Measurements from the dirty laundry bin to the clean items was approximately 7 feet 2 inches. Due to the proximity and crowded area in the laundry, Laundry Staff were asked how did s/he manage to get clean items into the dryer. S/he stated the laundry racks were moved back. This placed the clean racks midway and very close to the soiled side of the room. In addition, Laundry Staff was observed to obtain the water temperature of the washer which was 125 degrees. S/he tested the pH of the linen and stated some days it is yellow and some days it is green. When Laundry Staff #1 was asked what the parameters for the water temperature and pH should be, s/he was unable to tell the surveyor. On [DATE] at 11:04 AM, after observing pressure ulcer treatment, Licensed Practical Nurse #1 washed his/her hands, entered the soiled utility room and placed items in receptacles. S/he exited the soiled utility room without evidence of washing or sanitizing his/her hands. During an interview with the Director of Nursing on [DATE] at 4:24 PM, s/he stated staff should wash or sanitize hands after placing items in the soiled utility. Review of the facility policy titled Infection Control-Linen and Laundry revealed the following under Section 2300- Water Supply, Hygiene, and Temperature Control-D. Hot water provided for washing linen and clothing shall not be less than one hundred sixty (1[AGE]) degrees Fahrenheit. Should chlorine additives or other chemicals that contribute to the margin of safety in disinfecting linen and clothing be a part of the washing cycle, the minimum hot water temperature shall not be less than one hundred ten(110) degrees Fahrenheit, provided hot air drying is used. Review of the Fabric pH indicator by ECOLAB revealed instructions for determining the pH from a range of 4-12+ with the number 7 and 8 circled. Written instructions states if color is green or yellow that indicates a good pH. Review of the facility policy titled Infection Control Prevention and Control Activities revealed the following under the Hand Washing section: 2. Wash hands after touching blood, body fluids, secretions, excretions, and contaminated items, whether or not gloves are worn. Hands will be washed immediately after gloves are removed, between patient contact, equipment handling and when otherwise indicated to wash hands between tasks:. Review of the facility policy titled Infection Control-Linen and Laundry revealed the following: 5. Laundry Process a. Soiled laundry i. The soiled laundry area is to be clearly separate from the clean laundry area. Resident #62 was admitted to the facility on [DATE], with [DIAGNOSES REDACTED]. Observation of the pressure ulcer dressing change on 0[DATE]20 at 10:53 AM, Registered Nurse (RN) #1 and Licensed Practical Nurse (LPN) # 1 entered the resident's room and both washed hands and donned gloves. The RN #1 removed the soiled dressing, washed her hands with soap/water, and donned new gloves. The RN #1 measured the pressure ulcer 1.13 cm x 0.1 cm x 0.7 cm, then washed hands with soap/water. The LPN #1 washed hands and donned new gloves, cleaned wound with wound cleanser, washed hands with soap/water, and donned new gloves. The LPN #1 applied calcium alginate dressing to sacrum. The RN #1 and LPN # 1 pulled up Resident #62 in the bed, collected the trash and both washed their hands. The LPN #1 then took the trash down the hall to the soiled utility room, entered the soiled utility room and placed the trash in the bin. After leaving the soiled utility room, LPN # 1 did not wash hands with soap or water or appear to sanitize with an alcohol based rub. During an interview with the Director of Nursing on 0[DATE]20 AT 4:16 PM, the concerns about handwashing were mentioned and she confirmed that the LPN should have washed hands after placing trash in the soiled utility. A review of the facility policy titled Infection Control Prevention and Control Activities revealed that 1.) Hands should be washed often. 2.) Wash hands after touching blood, body fluids, secretions, excretions, and contaminated items, whether or not gloves are worn. Hands will be washed immediately after gloves are removed, between patient contact, equipment handling and when otherwise indicated to wash hands between tasks. |
2020-09-01 |