State Finds Treatment Center did not require cleaning of glucometers and did not screen Employees

The Florida Agency for Health Care Administration (AHCA) cited Gulf Coast Treatment Center for deficiencies related to infection control at the facility. AHCA found that the facility “failed to develop and implement a policy and procedure for cleaning and maintaining blood glucose devices in accordance with acceptable infection control practices.” The current standard of practice from the Centers for Disease Control (CDC) for cleaning blood glucose devices (glucometers) states that “If blood glucose meters must be shared, the device should be clean and disinfected after every use per manufacturer’s instructions, to prevent carry-over of blood and infectious agents…”  However, Gulf Coast Treatment Center’s policy for cleaning glucometers stated “In day to day use, the Accu-Check Integra meter does not require regular cleaning. However, if the optical unit becomes soiled, cleaning can be performed.” Two staff nurses confirmed the difference between the CDC’s standards of practice and the facility’s policy by informing the AHCA surveyor that the glucometer was usually cleaned daily with alcohol pads. The facility’s Nursing Director added that “the glucometer policy did not include the current CDC recommendations.” AHCA also cited the facility for management and administration deficiencies. AHCA determined that the facility failed to comply with Florida Statute Chapter 435 regarding employee background screenings for psychiatric hospitals. Following a review of personnel records, the AHCA surveyor found that “none of the 10 sampled personnel records revealed Level 2 background screens performed in accordance with the AHCA’s requirements.” Gulf Coast Treatment Center’s Human Resource Director stated they were under the impression that hospital screens conducted through the Department of Juvenile Justice would satisfy the AHCA requirements. As a result of these citations, the facility had to submit a plan of correction to address its cited deficiencies and amend its deficient policies and procedures.