Reducing Bloodstream Infection (BSI) and Long-Term Catheter (LTC) Quality Improvement Activity (QIA)

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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.

ESRD NCC Call Materials

January 7, 2020 - Promoting Bloodstream Infection (BSI) Prevention with Patient-Centered Resources: The Role of the National Patient and Family Engagement (NPFE) Learning and Action Network (LAN) March 3, 2020 - Long-term Catheters: Rethinking Candidacy for Surgical Access

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 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