Bloodstream Infection
Quality Improvement Activity (QIA)

Network Project Lead: Annabelle Perez, BSN RNBundleLogo-01.jpg
Quality Insights Renal Network 3 (QIRN3) is conducting a Blood Stream Reduction/Prevention Project (Assessing Practices and Responding to Prevent Infections) to reduce and prevent BSI rates among dialysis patients. Selected facilities are provided with guidance to align practices with the recommended CDC Core interventions for Hemodialysis BSI Prevention.
PRIMARY GOAL: Demonstrate a 20% or greater relative reduction in the semi- annual pooled mean in the cohort of 20% of facilities with the highest excess infection rates in the Network service area at re-measurement compared to the previous year.

SECONDARY GOAL: Decrease the long term catheter rate by 2% from the baseline (July 2018) by evaluation based on data available in October 2019.

reporting icon Monthly Reporting

QIA Call Schedule

1/10/2019 Kick-off Call 10AM-11AM ET
4/18/2019 Midpoint Call 10AM-11AM ET
6/13/2019 Status Update Call 10AM-11AM ET
10/10/2019 Wrap up 10AM-11AM ET

QIA Call Materials

Kick-off Call - January 10, 2019 BSI QIA Refresher and Online Reporting Tool DEMO Call - February 14, 2019
April Midpoint Update June Status Update August Status Update  
ESRD NCC LAN Webinar Schedule
Date Time
January 8th, 2019 3:00PM- 4:00PM ET
March 5th, 2019 3:00PM- 4:00PM ET
May 7th, 2019 3:00PM- 4:00PM ET
July 2nd, 2019 3:00PM- 4:00PM ET
September 3rd, 2019 3:00PM- 4:00PM ET
November 5th, 2019 3:00PM- 4:00PM ET

ESRD NCC Call Materials

January 8, 2019 Call March 5, 2019 Call May 7, 2019 Call We encourage you to use the Project Management tool. It was created to help facilities keep up with project requirements and deadlines.

Annual NHSN Training

Each year, the CDC requires that one person from each facility complete the Annual NHSN Dialysis Event Surveillance Training. To receive credit for completing the required training, follow these steps:
Complete the training Complete the attestation  
  • Must be completed in order to receive credit for completion
BSI Reduction Resource Bundle

Additional Resources

CDC Staff Competencies 

Assess staff upon hire and at least yearly in the following competencies. (Note: Not all categories will be applicable to all staff.)
  • Gloving and Hand Hygiene (all staff) – includes recognition of appropriate situations for glove use/hand hygiene, proper use and removal of gloves, and proper hand hygiene technique.
  • Catheter Dressing Change Technique – includes correct performance of hand hygiene, and use of gloves, and correct use of antiseptics (proper application and allow drying, etc).
  • Vascular Access Technique – includes correct performance of hand hygiene and use of gloves, catheter site and port/vascular access antisepsis, and aseptic technique.
  • Safe Injection/Safe Medication Practices – includes proper technique for:
    • Parenteral medication preparation, handling, administration and storage (e.g., not in patient station, etc.)
    • Use of aseptic technique
    • Proper hand hygiene before preparing or administering medications or infusions
    • Proper cleansing of medication injection ports and medication vial diaphragms
    • Proper use and handling of single use vials and bags

FREE CEUs Below!
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Areas for Patient Education

Patients with Catheters
  • Hand hygiene
  • General access care at home (e.g., bathing with a catheter)
  • Signs and symptoms of infection
  • How to respond if problems with catheter develop outside of the dialysis center
  • Risks associated with catheters/importance of permanent access
  • Basic infection control practices during catheter accessing process (as a means to engage patients)
Patients with Other Access Types
  • Hand hygiene
  • Washing the access site prior to treatment
  • General access care at home (e.g., don’t scratch or pick at the site)
  • Signs and symptoms of infection
  • How to respond if problems with access develop outside of the dialysis center
  • Basic infection control practices during cannulation process (as a means to engage patients)

Join the Effort Below!
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Catheter Reduction Resource Toolkit

The FFCL Change Package includes 13 Change Concepts that provide a roadmap for implementation of the K/DOQI vascular access recommendations. Take a look at the overview.

Patient Resources