| Statement of Deficiencies | (X1) Provider/Supplier/CLIA Identification Number 852540 | (X3) Date Survey Completed 01/06/2023 |
| Name of Provider or Supplier Camilla Dialysis | Street Address, City, State 251 Us 19 N, Camilla, GA | |
| For information on the provider's plan to correct this deficiency, please contact the provider or the state survey agency. | ||
| (X4) ID Prefix Tag | Summary Statement of Deficiencies
(Each deficiency should be preceded by full regulatory or LSC identifying information) |
| V0113 | IC-WEAR GLOVES/HAND HYGIENE CFR(s): 494.30(a)(1) Wear disposable gloves when caring for the patient or touching the patient's equipment at the dialysis station. Staff must remove gloves and wash hands between each patient or station. This STANDARD is not met as evidenced by: Based on observation, staff interview, a review of facility Policy and Procedures (P & P), and a review of the Center for Disease Control and Prevention (CDC) guidelines, it was determined that the Infection Control Committee failed to ensure that one of one Patient Care Technicians (PCT AA) observed, performed hand hygiene (wash hands or use an alcohol-based hand sanitizer) after removal of gloves and before donning gloves. This breach in infection control techniques had the potential to cause the spread of infections, or bloodborne pathogens in the dialysis environment through cross contamination. The facility census was 74. Findings include: During observation in the patients' treatment room on 1/6/23 between 10:10 a.m. and 12:10 p.m., the following was revealed: - PCT AA was observed removing the used bloodlines and dialyzer off of the hemodialysis machine at Station 2. PCT AA changed gloves without performing hand hygiene between glove changes. - During an interview with PCT AA on 1/6/23 at approximately 1:10 p.m. regarding the above observation, she stated that she forgot or didn't realize that she didn't perform hand hygiene between glove changes. - A review of the facility's Policy: 1-05-01 titled, "Infection Control For Dialysis Facilities", with the latest revision date of October 2022, stated: 1. Hand hygiene is to be performed ... prior to gloving, after removal of gloves... 6. Alcohol-based hand rubs may be used: ... before gloving and after glove removal... According to CDC recommendations, even with glove use, hand hygiene is necessary after glove removal because hands can become contaminated through small defects in gloves and from the outer surface of gloves during glove removal... |