North Carolina regulators cited a Wayne County assisted living center where five people died in a hepatitis B outbreak for failing to clean equipment used to check the blood of diabetic residents.
Staff were apparently improperly trained in the use and cleaning of the devices used to measure blood sugar samples. Although the lancets used to do the finger prick to draw blood, and the strips that the blood was placed on and fed into the measuring device were thrown away, the device itself, a glucometer, was not properly disinfected.
Furthermore, according to the instructions on the glucometers, each one should have been used for only one patient and not shared.
Summary by C.D. Mazoff