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Document discussing modifications to the NHSN Dialysis Event form and Outpatient Dialysis Center Practices Survey in response to user feedback, updates on healthcare reporting requirements, and information
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How to fill out nhsn dialysis event surveillance

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How to fill out NHSN Dialysis Event Surveillance

01
Access the NHSN website and log in to your account.
02
Navigate to the 'Dialysis Event Surveillance' section.
03
Select the appropriate patient for whom you are reporting the event.
04
Enter the necessary details about the dialysis event, including the dates and type of event.
05
Record any relevant clinical data related to the patient's condition during the event.
06
Submit the form after verifying all entered information for accuracy.

Who needs NHSN Dialysis Event Surveillance?

01
Healthcare facilities that provide dialysis services.
02
Healthcare professionals involved in dialysis care.
03
Public health officials monitoring infection control in dialysis patients.
04
Researchers studying dialysis-related health outcomes.
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Example: If the dialyzer's clearance is 300 mL/min and a dialysis session lasts for 180 minutes (3 hours), Kt will be 300 mL/min multiplied by 180 minutes. The result comes to 54,000 mL, or 54 liters. The body is about 60 percent water by weight.
Rates of dialysis events were calculated by dividing the number of dialysis events by the number of patient months and multiplying the result by 100. Overall and type-specific dialysis events were expressed per 100 patient months by vascular access type.
Dialysis Event: Three types of dialysis events are reported by users: IV antimicrobial start; positive blood culture; and pus, redness, or increased swelling at the vascular access site.
(Renal Kt/V urea + dialysate Kt/V urea = total Kt/V urea for each patient.) This sum gives the total dialysis 'adequacy', as measured by urea clearance. Although this is not necessarily an ideal measurement of adequacy, it is the current measurement from which regulatory bodies assess peritoneal dialysis clearances.
A simplified method of calculating the dialysis time based upon urea kinetic modeling equation: Ct = C0 e exp - (Kt/V) is presented together with a table of urea clearance values for most commonly used dialyzers.
Bloodstream infections (BSIs) are a dangerous complication of dialysis. Following proper infection prevention and control procedures in the dialysis facility can protect patients. The Core Interventions are an approach to BSI prevention in dialysis facilities and have been proven to reduce dialysis BSIs.
We recommend recording initial weight, final weight, dry weight, dialyzer, station number, initial BP and final BP, number of hours of dialysis, access used, BFR, dialysis flow rate, dialysate composition used (Na, K, calcium, bicarbonate), conductivity, temperature, anticoagulation, any other medications administered.
Throughout the entire month, any and all outpatients who receive hemodialysis at the facility are monitored for three National Healthcare Safety Network (NHSN)- defined dialysis events, which are: IV antimicrobial starts, positive blood cultures, and evidence of local access site infection.

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NHSN Dialysis Event Surveillance is a national program designed to track and monitor dialysis-related infections and events to improve patient safety and quality of care in dialysis facilities.
All outpatient dialysis facilities that are Medicare-certified are required to enroll in NHSN and report dialysis event data.
To fill out NHSN Dialysis Event Surveillance, facilities must collect data on specific dialysis events, including infections and other safety incidents, and enter this information into the NHSN secure online system according to the guidelines provided by NHSN.
The purpose of NHSN Dialysis Event Surveillance is to enhance the monitoring of dialysis-related infections and events, improve patient outcomes, and inform public health initiatives aimed at reducing complications in dialysis patients.
Facilities must report information such as the number of dialysis events, patient demographics, types of infections, and other relevant clinical data as specified in the NHSN reporting protocols.
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