Ask the Nursing Expert about ... dignity citations

Angel McGarrity-Davis, RN, CDONA, NHA
Angel McGarrity-Davis, RN, CDONA, NHA

We just finished our state and federal survey and received one federal citation. It is about dignity — are you familiar with this regulation, and if so, can you help me research? 

Congratulations on receiving only one citation! Dignity, also known as F-Tag 241, is in the top 10 most cited.

The regulation states that the facility must promote care for residents in a manner and in an environment that maintains or enhances each resident's dignity and respect in full recognition of his or her individuality.  

Dignity pertains to a resident's interactions with others, and makes sure that staff carry out activities that assist the resident to maintain and enhance his or her self- esteem and self-worth.  

Here are some examples that could have gotten you in trouble:

Grooming — Residents are to be groomed how they wish to be. Examples: hair combed, beards shaved/trimmed, nails clean/clipped.  

Respecting private space and property — Don't post signs (for clinical reasons). 

Names — Not referring to an individual by the name of his/her choice.

Clothing — Individual preferences, appropriate for weather conditions; also, use their own clothes. 

Labeling of clothes — In a way that respects their dignity; and cover catheter bags.

Dining:

• Plastic and paper dishware are discouraged.

• Bibs — Clothing protectors used instead of cloth napkins;  or resident's choice.

• When the resident needs to be assisted with feeding, the staff member should sit down with the resident.

• Staff should interact with the residents and not with each other when assisting during meals.