The new CMS Emergency Preparedness Rule for dialysis facilities will be enforced starting November 15, 2017. The Kidney Community Emergency Response Coalition (KCER) has prepared resources for facilities, including Interpretive Guidelines and Survey Procedures, a Survey Tool, and a Knowledge Center. Find them at http://www.kcercoalition.com/en/resources/professional-resources/ .
The Rule requires dialysis facilities to conduct two emergency preparedness exercises per year. One must be full-scale, but the other may be a “table-top exercise,” a group discussion led by a facilitator using a narrated, clinically-relevant emergency scenario that challenges an emergency plan. KCER is also preparing a variety of table-top exercise templates that facilities may copy; see http://www.kcercoalition.com/en/resources/professional-resources/table-top-exercises/ .
We’ve added the July issue of Network 16 News to our website. This edition summarizes the recent Network 18 Quality Conference that featured sessions on palliative care and violence prevention, and announces that registration is open for the October 22, 2017 Network 16 Quality Conference in Tukwila WA (Southcenter), at http://events.r20.constantcontact.com/register/event?oeidk=a07ee1vuqhebf5c5af8&llr=hakkwkrab . The Network 16 Conference will feature sessions on mental health, fluid control, survey readiness, AKI, residual function, and palliative care.
The Network 16 News issue also links to the August 20, 2017 NKF Annual Community Picnic & Wellness Fair in Portland, the September 24, 2017 Strut Your Kidney run/walk in Portland, and the September 23-25, 2017 ANNA Nephrology Nursing Practices, Management & Leadership Conference in Miami FL. Find more information about these events by clicking on “Facility Calendar” at the top of this page.
You can find current and past Network 16 News issues at https://www.nwrn.org/providers-and-professional-staff/nw16n.html .
JCAHO and CMS have issued a new ruling that texting of medical orders from a personal mobile device (such as a smartphone) is no longer permitted, whether or not the texting service claims to be secure. The preferred method is to enter orders directly into the Electronic Health Record. Written order are still permitted, as are verbal orders when neither EHR nor written orders are feasible.
This is the headline article in the June 2017 issue of Network 16 News. This issue also contains:
- An article on “Are you State Survey Ready?” that provides advice on avoiding Condition Level citations.
- A note about possible confusion between HBsAg and HBeAg that can cause a facility to miss a Hepatitis B infection.
- Flags in the “Hot Dates” section on:
Find all Network 16 News issues at https://nwrn.org/providers-and-professional-staff/nw16n.html .
CMS has released an advance copy of Interpretive Guidelines and Survey Procedures for the new Medicare Emergency Preparedness Requirements rule that became effective on November 15, 2016 and will be implemented on November 15, 2017. Find a copy at https://www.cms.gov/Medicare/Provider-Enrollment-and-Certification/SurveyCertificationGenInfo/Downloads/Survey-and-Cert-Letter-17-29.pdf .
CMS has published new Survey & Certification guidelines on:
- Cleaning the ESRD station between patients: CDC recommends that a dialysis station, in order to prevent cross contamination, be completely vacated by the previous patient before the ESRD staff may begin cleaning and disinfection of the station and set up for the next patient.
- Precaution: CMS reiterates that patients should not be moved from the dialysis station until they are clinically stable.
For complete details see https://www.cms.gov/Medicare/Provider-Enrollment-and-Certification/SurveyCertificationGenInfo/Policy-and-Memos-to-States-and-Regions-Items/Survey-and-Cert-Letter-17-32.html .
CMS has issued new Survey & Certification guidelines on:
- Preparation of Medications: ESRD facilities must follow aseptic technique when preparing and administering intravenous medications; including the filling of syringes with sterile saline for use during the dialysis procedure.
- Filling Saline Syringes at the Station: Pursuant to current recommendations from the Centers for Disease Control (CDC), ESRD facilities may not fill syringes with saline from the single dose saline bag or IV tubing connected to the patient at the dialysis station. To comply with recommended safe injection practices, the facility may acquire pre-filled syringes or may prepare saline syringes for an individual patient in a clean area away from the patient treatment area.
For complete details see https://www.cms.gov/Medicare/Provider-Enrollment-and-Certification/SurveyCertificationGenInfo/Policy-and-Memos-to-States-and-Regions-Items/Survey-and-Cert-Letter-17-31.html .
CMS will hold an Emergency Preparedness Requirements Final Rule Training Call April 27, 2017 to discuss the implementation of the new emergency preparedness requirements, including an overview of the regulation, and training and testing requirements. Facilities must be in compliance with the new rule by November 15, 2017. A question and answer session will follow the presentation. Providers and suppliers affected by the final rule; state survey agencies; health care coalitions, and state emergency preparedness officials are encouraged to attend. For details and registration see https://blh.ier.intercall.com/details/3fffe92ff39341f4935586d18895c3d3 .