C. R. BARD, INC. PUREWICK FEMALE EXTERNAL CATHETER, NOT MADE NATURAL RUBBER LATEX; COLLECTOR, URINE, POWERED, NON INDWELLING CATHETER
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Model Number PWF030K |
Device Problem
Adverse Event Without Identified Device or Use Problem (2993)
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Patient Problem
Pressure Sores (2326)
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Event Date 02/06/2023 |
Event Type
malfunction
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Event Description
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Purewick was placed while the incontinent patient was in the emergency department on [date redacted].On [date redacted], the nurse completed the morning skin check and noticed macerated redness to groin.The purewick was in place.At shift change, nurse noticed reddened area around device.It was unclear if it the area is open.It was difficult to assess due to incontinent urine.Urine vs wound drainage.Suction set up for one canister in room.Paracentesis set up to suction.Unable to connect purewick to suction.Purewick repositioned frequently throughout shift due to patient going to ultrasound for paracentesis and returning.Wound and ostomy care (woc) nurse was consulted.Purewick removed.Patient already on specialty bed.Skin cleansed and barrier cream applied.Woc consult completed [date redacted] with woc nurse's findings as follows: partial thickness tissue loss noted to the labia majora that is linear in presentation consistent with the purewick external catheter.Area measures 3cm x 0.2cm x 0.1cm and 2.6cm x 0.2cm x 0.1cm to the left and right of the labia majora.Red wound base.No drainage noted.Purewick has been removed at this time.Incontinence brief in place at time of assessment.Nursing has specialty bed in place as well as taps and heel boots.Wound classified as a stage 2 pressure injury by woc.The pressure injury had improved during hospitalization.
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