Thank you to all the facilities involved in the Patient Safety Quality Improvement Activity. Each month the facility is required to fill out a Monthly Summary Report (MSR) to let the Network know what activates and changes are occurring in the facility that will foster a culture of positivity and untimely create sustainable changes.
In the month of August the Network is asking facilities to focus on reducing bloodstream infections by reviewing facility specific skin preparation policy and procedures to ensure they meet all the CDC and NKF KDOQI guidelines.
Aseptic techniques must be used whenever an arterial venous site is being accessed for treatment. The first step in the process is to get the patient to wash their access site with soap and water upon arrival to the unit. The second step in the process is to make sure the skin over the access site is prepped with an appropriate antiseptic solution. In 2011 both the CDC and Healthcare Infection Control Practices Advisory Committee(HICPAC) recommend a greater then 0.5% chlorhexidine with alcohol, 70% alcohol, or 10% povidone-iodine be used. If a facility is using 70% alcohol skin prep pads, please ensure that they are labeled as sterile.
For additional information on the CDC"s Core Intervention for Dialysis Bloodstream Prevention and access to the audit tool and checklists, please follow the link below.