Thank you to all the facilities that have completed the 5- Why's RCA tool provided in the project inclusion newsletter. If you have not completed and submitted the RCA tool please do so by the end of February.
The top identified barriers that the Network would like facilities to focus on during the month of March are:
- Facilities being held responsible for all positive blood cultures
- Nurses are rushed and not preforming proper hand hygiene
- Patient personal hygiene
- Long Term Catheter rates greater than 15%
Each facility should have at least one staff member enroll and complete all training available in the National Healthcare Safety Network (NHSN). This will ensure that all bloodstream infection and any event of puss, redness or swelling is accurately documented in NHSN. Facilities should enter data in NHSN on a monthly basis.
The Centers for Disease and Control and Prevention states that the nation is currently experience one of worst cold and flu season in a decade. Flu season usually peaks sometime in March but can still spread easily among immune compromised dialysis patients. Practicing good hand hygiene is the best way to prevent the spread of disease. The CDC estimates the proper hand hygiene with soap and water could:
- Reduce diarrheal disease-associated deaths by 50%
- Reduce the risk of a respiratory infection by 16%
During March all facilities involved in the Patient Safety Quality Improvement Activity (QIA) Project must use the CDC hand hygiene audit tool to preform a minimum of 30 hand hygiene audits. The facility can audit any staff member that enters and exists the treatment area, administrators, social workers and dietician should all be practicing good hand hygiene as well. Along with the patient, who must also wash their hands when entering and existing the treatment area. Any staff member can preform these audits. All audits must be entered in to NHSN by the end of the March.