Mcallen Transitional Care Center

then indirectly transferred to residents or from resident-to-resident. (e.g., residents with wounds and indwelling medical devices are at especially high risk of both acquisition of and colonization with MDROs).a. PPE: The use of gown and gloves for high-contact resident care activities is indicated, when Contact Precautions do not otherwise apply, for nursing home residents with:i.

Wounds and/or indwelling medical devices regardless of MDRO colonization as well as for residents.c.

Examples of high-contract resident care activities requiring gown and glove use for Enhanced Barrier Precautions include: vi.

Changing briefs or assisting with toileting viii.

Wound care: any skin opening requiring a dressingix. In general, gown and gloves would not be required for resident care activities other than those listed above, unless otherwise necessary for adherence to Standard Precautions.

Record review of the facility's Hand Hygiene policy with the most recent revision/review date April 2025, revealed:PolicyIt is the policy of this facility to provide the necessary supplies, education, and oversight to ensure healthcare workers perform hand hygiene, which is one of the most effective measures to prevent the spread of infection, based on accepted standards.

Residents, family, and visitors will be encouraged to practice hand hygiene.

Procedure1.

Wash hands with soap and water for the following situations: a.

When hands are visibly soiled (e.g., blood, body fluids) .2.

Use an alcohol-based hand rub containing at least 62% alcohol; or, alternatively, soap (antimicrobial or non-antimicrobial) and water for the following situations: a.

Before and after coming on duty; b.

Before and after direct contact with residents; . e.

Before and after handling an invasive device (e.g., urinary catheters, IV access sites); . h.

Before moving from a contaminated body site to a clean body site during resident care; i.

After contact with a resident's intact skin; j.

After contact with blood or bodily fluids; . m.

After removing gloves; . r.

After removing and disposing of personal protective equipment

Record review of the facility's Incontinent Care policy with most recent revision/review date 4.2025, revealed:PolicyIt is the policy of this facility that each resident receive perineum cleansing after incontinent episode daily and as needed (PRN) to promote hygiene, comfort, and decrease the risk of infection.

Procedure1.

Gather equipment and supplies. a.

Soap or cleanserb.

Basin with water (disposable wipes may be used as a substitute for soap and water)c.

Glovesd.

Two clean washcloths(more if needed and trash bag .FEMALE - WITHOUT CATHETER11.

Cleanse pubic area, including upper, inner aspect of both thighs and frontal portion of perineum. a.

Use long strokes from the most anterior down to the base of the labia. (Wash from the cleanest area to the dirtiest area.) b.

After each stroke, Use a clean portion of the disposable wipe for one cleansing motion.14.

Wash perineal area thoroughly, with each stroke beginning at the base of the labia and extending up over the buttocks. a.

Use a clean portion of the disposable wipe for one cleansing motion.FEMALE - WITH CATHETER16.

Moisten the washcloth and apply soap to the washcloth or using moistened disposable wipes, clean the catheter in a downward motion (front to back) beginning at the urinary meatus (insertion point) and at least 4 inches down (from resident toward the collection bag).

Use a clean portion of the disposable wipe for one cleansing motion.

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