Reducing Rates of Bloodstream Infections QIA

Following are links to tools that will assist you in achieving your BSI reduction goals:

Quality Assessment and Performance Improvement (QAPI) Resources

• QAPI QIA BSI Monitoring Form
  Use the QAPI QIA BSI Monitoring Form (PDF) for tracking access- and CVC-related BSIs, the number of patients who have had two or more BSIs within a 12-month period, and BSI prevention education and for discussion of progress toward goals during QAPI meetings.

Medical Records Request Form

Use this fillable form that requires facility medical director signature to request blood culture results and other medical records for your patients.

• Fillable (PDF)
• Non-Fillable (PDF)
• Network 15 Obtaining Electronic Medical Record (EMR) Access (PDF)

CDC Resources

• CDC Core Interventions
  These Core Interventions have been proven to reduce dialysis-related BSIs. Apply these interventions when using the Audit Tools and Checklists.

• CDC Core Intervention Poster
  This poster outlines the CDC approach to BSI prevention in dialysis facilities.
  
  
• CDC Days Since Last Bloodstream Infection poster
  • English non-fillable
  • English fillable
  • Spanish non-fillable

• CDC Arteriovenous Fistula and Graft (AVF and AVG) Cannulation Tools
  • Audit Tool: AVF/AVG Cannulation Observations (For monthly reporting.)
  • Checklist: AVF/AVG Decannulation
  • Checklist: AVF/AVG Cannulation

• CDC Audit Tools

• CDC Audit Tool: Hemodialysis Hand Hygiene Observations (For monthly reporting.)

• CDC Catheter Care Tools
  • Audit Tool: Catheter Connection and Disconnection Observations (For monthly reporting.)
  • Checklist: Hemodialysis Catheter Connection
  • Checklist: Hemodialysis Catheter Disconnection
  • Hemodialysis Central Venous Catheter Scrub-the-Hub Protocol

• CDC Catheter Exit Site Tools
  • • Audit Tool: Catheter Exit Site Care Observations (For monthly reporting.)
    • Checklist: Hemodialysis Catheter Exit Site Care
      
      
• 4 Ways to Get Ahead of Sepsis—This CDC infographic, aimed at patients, addresses what sepsis is and steps that can be taken to prevent it.
• Get Ahead of Sepsis Fact Sheets and Brochures—The CDC now has Get Ahead of Sepsis materials, including fact sheets and brochures for patients and families, available for download in Spanish. Sepsis is a medical emergency. These new Spanish-language materials help patients and their loved ones learn the risks, spot the signs and symptoms, and act fast if they suspect sepsis.

• Training Videos and PowerPoints
  • CDC Preventing BSIs in Outpatient Dialysis Patients (Video 11:17) 
  • National Healthcare Safety Network (NHSN) Dialysis Event Surveillance Training
    
    • This training is mandatory on an annual basis.
  • What is a Learning and Action Network (LAN)? (Video 2:17) 
  • Health Information Exchange (HIE) for Dialysis Providers (Slides) (Recording)
    • Delivered by Florida HIE Services March 29, 2018
  • Speak Up: Making Dialysis Safer for Patients (Video 5:25) Use this video to engage patients in their care and prevent infections. 
• CDC Infection Protection Tools Page
  This page includes additional links to all CDC infection protection tools, including core interventions, the Scrub-the-Hub Protocol, all audit tools and checklists, as well as clinician education.