cms_TN: 6794
Data source: Big Local News · About: big-local-datasette
rowid | facility_name | facility_id | address | city | state | zip | inspection_date | deficiency_tag | scope_severity | complaint | standard | eventid | inspection_text | filedate |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
6794 | SKYLINE OF MIDSOUTH HEALTHCARE AND REHABILITATION | 445436 | 2380 JAMES ROAD | MEMPHIS | TN | 38127 | 2016-01-07 | 441 | D | 0 | 1 | 0CT011 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on policy review, observation, and interview, 2 of 5 (Licensed Practical Nurse (LPN) #1 and 2) nurses failed to ensure practices to prevent the potential spread of infection and cross contamination were maintained during medication administration. The findings included: 1. The facility's Handwashing/Hand Hygiene policy documented, .Policy Statement This facility considers hand hygiene the primary means to prevent the spread of infections . Policy Interpretation and Implementation . 5. Employees must wash their hands for at least fifteen (15) seconds using antimicrobial or non-antimicrobial soap and water under the following conditions . u. After removing gloves . The facility's Personal Protective Equipment - Using Gloves policy documented, .Objectives 1. To prevent the spread of infection . Miscellaneous . 5. Wash hands after removing gloves. (Note: Gloves do not replace handwashing.) . 2. Observations in Resident #52's room on 1/4/16 beginning at 4:32 PM, revealed LPN #1 washed her hands, obtained a blood pressure on this resident, applied gloves, without performing hand hygiene, checked placement of a Percutaneous Endoscopy Gastrostomy (PEG) tube, and checked the residual. LPN #1 removed her gloves, without performing hand hygiene, went to the medication cart and prepared a medication, dropped a piece of paper on the floor, picked up the paper, and continued to prepare medications, without performing hand hygiene. LPN #1 entered Resident #52's room, applied gloves, administered this medication per PEG tube to this resident, and removed her gloves, without performing hand hygiene. LPN #1 went to the medication cart, prepared another medication at the cart, entered Resident #52's room, applied gloves, administered this medication per PEG tube, and removed her gloves, without performing hand hygiene. LPN #1 went to the medication cart and prepared a medication, entered Resident #52's room, applied gloves, and administered this medication per PEG tube to this resident, removed her gloves, and washed her hands. 3. Observations in Resident #54's room on 1/4/16 beginning at 5:03 PM, revealed LPN #2 washed her hands, walked to the medication cart, cleansed a glucometer, prepared the insulin [MEDICATION NAME], applied gloves without performing hand hygiene, entered Resident #54's room, and performed an accucheck on this resident. LPN #2 removed her gloves, did not perform hand hygiene, walked to the medication cart, obtained another alcohol prep, applied gloves and administered insulin to this resident. LPN #2 removed her gloves, without performing hand hygiene, walked to the medication cart and cleansed the glucometer. 4. Interview with the Director of Nursing (DON) on 1/6/16 at 2:20 PM, in the conference room, the DON was asked what should be done after removing or prior to donning gloves. The DON stated, Either sanitize hands or wash with soap and water. | 2018-05-01 |