Comagine ESRD Network 16 will hold their Annual Quality Conference on September 19, 2019 in Des Moines WA. Topics will include care transitions, the patient’s perspective, staff concerns, transplants, infection control, Network update, and awards. Facility Managers and Administrators, nurses, social workers, dietitians, technicians, Medical Directors, and other ESRD facility staff are invited, to earn six continuing education credits. For details and registration, see http://campaign.r20.constantcontact.com/render?m=1118124189703&ca=285325b1-f5e9-47d8-87b7-96d48a207da5.
CDC is presenting several new free CE-available online Infection Control training programs:
- Their Infection Prevention and Control Training for Healthcare Professionals program offers Let’s Talk Patient Safety: Reducing HAI Transmission Risk, divided into two modules, one on What’s the Risk? and the other on Chain of Inection. Find them at https://www.cdc.gov/infectioncontrol/training/infection-control.html.
- The contribution of Environmental Services: EVS and the Battle Against Infection: a Graphic Novel (no CEs on this one). at https://www.cdc.gov/infectioncontrol/training/evs-battle-infection.html.
- The first two of eleven webinars in the States Targeting Reduction in Infections via Engagement or STRIVE program, which include Foundational Infection Prevention Strategies: Competency-based Training, Audits and Feedback, and Hand Hygiene. Find these at https://www.cdc.gov/infectioncontrol/training/strive.html. The other nine courses are due by October, and include:
- Personal Protective Equipment
- Environmental Cleaning
- Building a Business Case for Infection Prevention
- Strategies for Preventing HAIs
- Patient and Family Engagement
- C. difficile Infection
- MRSA Bacteremia
CDC has announced their expectation of a shortage of Tuberculin Skin Tests for the next year or so. For details see the Health Alert Network bulletin at https://emergency.cdc.gov/han/han00420.asp. The HAN includes CDC’s recommendations for coping with the projected shortage.
A recent study published in the American Diabetes Association’s (ADA) journal Diabetes Care (http://care.diabetesjournals.org/content/early/2019/05/28/dc19-0296) using 2000-2015 USRDS data has shown that the rates of nontraumatic lower-extremity amputation (NLEA) among adults with ESRD and diabetes fell 44% between 2000 and 2013 from 7.5 to 4.2 NLEA per 100 person-years, while NLEA among ESRD patients without diabetes declined 31% over the same period, from 1.6 to 1.1 per 100 person-years. Both reductions were highly statistically significant. However, both rates flat-lined after 2013.
We want to stress the importance of improving patient and staff education on diabetes self-management and preventive foot care, in order to resume the reductions in these rates. CDC’s recommendations on diabetic foot care can be found at https://www.cdc.gov/features/diabetesfoothealth/index.html. The ADA’s input is at http://www.diabetes.org/living-with-diabetes/complications/foot-complications/foot-care.html in English and http://www.diabetes.org/es/vivir-con-diabetes/complicaciones/el-cuidado-de-los-pies.html in Spanish.
The week of May 19-25, 2019 is National Emergency Medical Services Week, and CDC is celebrating it with a focus on recognizing and responding quickly to sepsis. Find CDC’s new sepsis tools at https://www.cdc.gov/sepsis/education/hcp-resources.html?s_cid=NCEZID-Sepsis-089.
The National Forum of ESRD Networks has introduced or updated several Medical Advisory Council (MAC) Toolkits. Two new Kits include the Transplant Toolkit and the Medication Conversion Toolkit. The Transitions of Care Toolkit was updated in mid-April. Find them all at http://esrdnetworks.org/resources/toolkits/mac-toolkits-1, along with the existing Home Dialysis Toolkit, Medical Directors Toolkit, QAPI Toolkit, Medication Reconciliation Toolkit, Catheter Reduction Toolkit, Vaccination Toolkit, and Assurance of Diabetes Care Coordination Toolkit.
- In mid-June 2019 a series of presentations on Infection Control, offering free CME/CE credits to physicians, nurses, and pharmacists, will expire. CDC and Medscape produced them in 2017 with the intention that they’d be valid for two years. The six presentations include Risk Recognition, Environmental Services, Medical Equipment, Nonsterile Gloves, Hierarchy of Controls, and Injection Safety. Find them at https://www.cdc.gov/infectioncontrol/training/cme-info.html.
- The Joint Commission Speak Up series includes a poster and short video in English and Spanish on Infection Prevention. Find these tools and many more at https://www.jointcommission.org/topics/speak_up_infection_control.aspx. The Speak Up series also includes resources on Five Ways to Be Active in Your Care at the Hospital for dialysis and diabetes patients, on Avoiding a Return Trip to the Hospital, on Depression, on Organ Donation, on Pain, and many other topics. Find them all at https://www.dropbox.com/sh/3e5uml0tk6myy4s/AAB0a91UJK8p8-VkokWD0q2Ga?dl=0.
- The Oregon Patient Safety Commission suggests giving your facility a Patient Safety Culture Survey, such as those provided by the HHS Agency for Healthcare Research and Quality (AHRQ). While they don’t have a Survey specifically for dialysis facilities, most of the questions on any of their surveys are directly applicable or can easily be adapted. For details see https://oregonpatientsafety.org/news-information/patient-safety-alerts/add-patient-safety-culture-surveys-to-your-prevention-toolbox/945/.
- AHRQ will present a June 12, 2019 webinar on Best Practices for Web-Based Surveys on Patient Safety Culture; register at https://westat.webex.com/mw3300/mywebex/default.do?nomenu=true&siteurl=westat&service=6&rnd=0.14765443759873476&main_url=https%3A%2F%2Fwestat.webex.com%2Fec3300%2Feventcenter%2Fevent%2FeventAction.do%3FtheAction%3Ddetail%26%26%26EMK%3D4832534b00000004055fc9090fc824db69d4fc807faaa82be8a7e2f6b039075465c816eb25f825d0%26siteurl%3Dwestat%26confViewID%3D123809633363065597%26encryptTicket%3DSDJTSwAAAARxY3pJMqWtIxlWNZjpy6DEzK3qsti–1Bsvb7DlIp51Q2%26#utm_source=SOPSanc&utm_medium=Email&utm_campaign=20190422.
- The CDC Safe Healthcare Blog makes a good frequent reminder about the ever-present danger of infection, and how to respond to it effectively. It’s post for this week is titled Clean Hands Count to Keep Patients Safe from Healthcare Associated Infections. Find the post and the Blog at https://blogs.cdc.gov/safehealthcare/clean-hands-count-to-keep-patients-safe-from-healthcare-associated-infections/.