| 35 |
EASTVIEW REHABILITATION & HEALTHCARE CENTER |
15014 |
7755 FOURTH AVENUE SOUTH |
BIRMINGHAM |
AL |
35206 |
2020-02-20 |
880 |
D |
0 |
1 |
C4NW11 |
Based on observation, interviews, record review, and review of a facility policy titled Standard Precautions, the facility failed to ensure a Licensed Nurse washed her hands after she administered an eye drop medication to Resident Identifier (RI) #24, removed her gloves, and prior to administering RI #24's oral medications. This affected one of three nurses and one of three residents observed during medication pass. Findings Include: A review of a facility policy titled Standard Precautions, with a revised date of 9/2010, revealed . Standard Precautions will be used in the care of all residents . POLICY INTERPRETATION AND IMPLEMENTATION: 1. Hand Hygiene. b. Wash hands immediately after gloves are removed. and when otherwise indicated to avoid transfer of microorganisms to other residents or environments. On 2/20/20 at 8:30 a.m., the surveyor observed Employee Identifier (EI) #1, a Registered Nurse (RN), during medication administration pass. EI #1 gave an eye drop medication to RI #24's right and left eyes, removed her gloves, and did not wash her hands or use hand sanitizer prior to administering RI #24's oral medications. On 2/20/20 at 10:30 a.m., the surveyor conducted an interview with EI #1. EI #1 was asked, what she should have done after administering an eye drop medication to RI #24, removing her gloves, and prior to administering RI #24's oral medications. EI #1 stated she should have removed her gloves and washed her hands. EI #1 was asked why she had not wash her hands or used hand sanitizer. EI #1 stated, she forgot. EI #1 was asked, what does the facility Hand Washing Policy state should be done after giving a resident an eye drop medication and removing gloves. EI #1 stated, go directly and wash hands. EI #1 stated, hands should be washed before patient care, after patient care, after removing gloves, before applying gloves and in between residents. EI #1 was asked, what would be the concern if a Licensed Nurse did not wash or sanitize her hands after she gave an eye drop medication, removed her gloves, and prior to administering oral medications. EI #1 stated, it could transfer germs to the resident, herself, or other people. On 2/20/20 at 10:45 a.m., the surveyor conducted an interview with EI #2, an Infection Control Preventionist/Registered Nurse. EI #2 was asked, what should a Licensed Nurse do after she gave an eye drop medication, removed her gloves, and prior to administering oral medications. EI #2 stated, she should wash her hands or use a hand sanitizer. EI #2 was asked, what does the facility Hand Washing Policy state should be done after administering an eye drop medication to a resident, removing gloves and prior to administering an oral medication to a resident. EI #2 stated, she should wash her hands after she removed her gloves. EI #2 was asked, what would be the concern if a Licensed Nurse did not wash her hands or use hand sanitizer after she gave an eye drop medication, removed her gloves, and prior to administering oral medications. EI #2 stated, it could cause an infection to the resident, the nurse, and other people. |
2020-09-01 |