On a recent state survey, I received a negative comment because I had not secured the waist tie on my sterile gown. The velcro neck tabs hold the gown securely so it has never fallen down and, generally, we are wedged into a space so tiny we couldn't turn around if we wanted to (not very ideal but the back of a sterile gown is not technically considered sterile anyway, right?). We are a solo PICC department with only one nurse on at a time so no buddy to tie it. The double rooms are so small that getting anyone close enough to tie the gown is all but impossible without risking contaminating the rest of the sterile field providing we could get someone in the room in a timely fashion.
My question: Is our failure to tie the waist tie on the sterile gown really a practice that could negatively effect patient safety? If the answer is a definite yes, could you suggest of a solution that would make sense given the circumstances?