5 Diamond Stenosis Monitoring & Surveillance

5 Diamond Patient Safety Program
Promoting Patient Safety one Diamond at a Time

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Stenosis Monitoring & Surveillance

Everything you need to complete this module is right here! Click on the links within the table to access the necessary tools and resources available for completion of this module.

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OBJECTIVE:		To implement a K-DOQI recommended Stenosis Surveillance program in the dialysis unit that allows for a consistent and continuous evaluation process for AVF and AVG access.
ACTIVITIES REQUIRED FOR DIAMOND STATUS:	Complete an in-service training module (PowerPoint Presentation) on Stenosis Surveillance. Staff complete the Stenosis Surveillance Pre & Post Test Exercise Review your facility’s Policies and Procedures for stenosis surveillance and identify opportunities for improvement. Develop a trending method for Stenosis Surveillance.
OPTIONAL ACTIVITIES:	Distribute Protect Your Lifeline brochure to patients and their family, to facilitate patient-centered discussion of stenosis surveillance importance. Complete the Protect Your Lifeline Word Challenge Complete the Stenosis Monitoring & Surveillance Word Search Identify accountability and methodology for trending stenosis surveillance. Assign a Vascular Access Manager and assemble a Vascular Access team.
TOOLS/ RESOURCES:	In-Service Training Module: ~ Stenosis Surveillance Optional PowerPoint Presentation: ~ Vascular Access and the Conditions for Coverage. What you must do Vascular Access Stenosis Surveillance Pre- and Post-Tests K-DOQI Stenosis Surveillance Guidelines and Recommendations PDSA Worksheet Vascular Access Monitoring and the Conditions for Coverage – Requirements Protect Your Lifeline brochure including a patient vascular access record Protect Your Lifeline Word Challenge Stenosis Surveillance Change Concepts Understanding Your Hemodialysis Access Options – AAKP brochure available in English and Spanish How is your Facility Monitoring Venous Stenosis? worksheet Stenosis Monitoring & Surveillance Word Search Stenosis Monitoring & Surveillance Word Search ANSWERS
MEASURE(S):	100% of staff in-serviced on Stenosis Surveillance 100% of staff complete and submit the Vascular Access Stenosis Surveillance Pre- and Post-Tests Submit a re-identified example of your trending methods for stenosis surveillance

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After you have completed the module, and have documented the required measures, please complete the Project Reporting Form and submit it to Danielle Daley at ddaley@nw1.esrd.net or by fax at 203.389.9902.

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