Healthcare Associated Infections (HAI)

Overview

Many factors contribute to morbidity and mortality in dialysis patients.  The inherent process of frequent dialysis requiring a method of vascular access, including use of a chronic central line catheters, places hemodialysis patients at risk of exposure to infections.  In order to reduce HAI in dialysis facilities, Network of New England will:

• Utilize Centers for Disease Control and Prevention (CDC)’s National Healthcare Safety Network (NHSN) to uniformly collect data using CDC’s surveillance definitions,
• Become Group Administrator in NHSN for those facilities,
• Plan, implement and support the New England Dialysis facilities by providing guidance in enrolling in NHSN, technical support and provide feed back reports,
• Support participants through teleconferences, consultative services and communication via list serve/email and providing information on Network of New England website,
• Disseminate information to participating providers about what works and proven approaches to bloodstream infection prevention,
• Facilitate relationships between dialysis facilities and their regulatory and oversight agencies such as State Health Departments, CMS, CDC, and the Network, and
• Help identify processes that will satisfy requirements of all regulatory and oversight agencies.

Network of New England Instructions to Set-Up a Dialysis Facility in NHSN

Collaborative Contact Person

Priscilla A. Laliberty, RD, LDN
Project Coordinator, Healthcare Associated Infections
plaliberty@network1ne.org
cell: 401-743-4688

WebEx Presentation

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Healthcare Associated Infections Data Entry and Rules into NHSN
February 15, 2011

Slide Presentation
WebEx Presentation

Healthcare Associated Infections- Data Analysis in NHSN
June 21, 2011

Slide Presentation
WebEx Presentation

Reports

• CDC Vital Signs, March 2011
• Bloodstream Infections in Hemodialysis Patients with Central Lines. A Preventable and Costly Threat to Patient Safety
• CDC Guidelines for the Prevention of Intravascular Catheter-Related Infections, 2011

 

Training

• Surveillance in Outpatient Dialysis Facilities, Groups Training Course
• National Healthcare Safety Network (NHSN) Rules of Behavior

 

Enrollment

• NHSN Enrollmenr PowerPoint Presentation
• NHSN Facility Administrator Enrollment Guide
• Registration

 

CDC Resources

 

Essential Forms	Instructions
57.109 Dialysis Event	Dialysis Event Definitions Instructions for Completion of Dialysis Event (DE) From Front Side of DE Form Back Side of DE Form 2011 Organism/Drug Antibiogram List
57.119 Denominators for Outpatient Dialysis NOTE: Use vascular access data from prior month as denominator for current month	Instructions for Completion of Denominators for Outpatient Dialysis
57.104 Outpatient Dialysis Center Practices Survey

 

Optional Forms

• 57.106 Patient Safety Monthly Reporting Plan
  April 2010.
• 57.110 Dialysis Log