Ask the Nursing Expert about ... dignity citations
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.
• 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.