Lack of Policy for Wheelchair Foot Rests
Summary
The facility failed to ensure a written policy was in place for the use of foot rests on wheelchairs during transportation. Observations revealed that Resident 64 was transported by a nurse aide from her bedroom to the small activity room without foot rests on her wheelchair. The nurse aide admitted to not applying the leg rests prior to transportation. Similarly, Resident 120 was moved by an LPN from the activity room to the area in front of the nurses' station without leg rests on her wheelchair. The LPN acknowledged not using the leg rests, stating the resident was being disruptive. An interview with the Director of Nursing confirmed the absence of a policy regarding the use of foot rests on wheelchairs for transportation.
Plan Of Correction
Preparation and submission of this Plan of Correction (POC) is required by state and federal law. This POC does not constitute an admission for purposes of general liability, professional malpractice or any other court proceeding. The facility will not be creating a policy pertaining to leg rests. There were no other issues at the time of the survey. To prevent a future occurrence, the Director of Nursing/designee provided education to staff on the seating and positioning policy. The education included the use of wheelchair leg rest for transport. To monitor and maintain ongoing compliance, the Director of Nursing/designee will complete an audit weekly x4 then monthly x2 to ensure staff transporting residents are utilizing leg rests. Results of audits will be forwarded to facility's Quality Assurance and Process Improvement committee for review upon completion for review and recommendations.
Penalty
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