HospitalInspections.org

27606

Based on observation, staff interview and record review the facility infection control officer failed to ensure the infection control program system interventions are monitored for effectiveness and promote the control of infectious processes for patients and staff regarding the disinfection of the blood sugar testing devices.

Findings include:

On 2/27/2013 at 11:41 a.m. the noon blood sugar testing and insulin administration was observed on the facility 3 East wing. Staff FF was observed in the treatment room. Staff FF was observed disinfecting the Glucometer (blood sugar testing device) with a wet disposable wipe. She explained the wipe is an alcohol based cleansing wipe the facility uses for disinfecting the device. Prior to performing the blood sugar test the staff member was observed wiping the device for a approximately 3-5 seconds. After using the device the staff member would take a fresh wipe and wipe the device for 3-5 seconds and replace the device into the device cover. After the blood testing was completed Staff FF presented the Cavi-Wipe container and commented this is the wipe the facility uses. She continued to explain the facility had conducted a mandatory training regarding hand washing and the appropriate disinfection for the Glucometer device.
The Cavi Wipe disinfection instructions include the wet times (the time the surfaces are required to be wet/wiped to disinfect those surfaces). The label also includes instructions of the appropriate surface dry times. The minimum time is 2 minutes to maintain the surface as "visibly wet".
When asked about the wet time and the disinfecting of the Glucometer she stated "I see that."
An interview with the DON (Director of Nursing) was conducted after the observation of the blood testing and the insulin administrations were completed. The DON presented sign in sheets for the training for the disinfection of the Glucometer. Staff FF did not sign the attendee list. The DON also presented a blank (no entries) audit form entitled "Glucose Monitor Cleaning/ Hand Washing Audit". The DON explained this is the audit tool the facility will use to audit the effectiveness of the training.
The facility failed to ensure the training was provided to the current clinical nursing staff and failed to monitor the effectiveness of the interventions/training regarding disinfection of the Glucometer.


31660