NW16 9/19 Network 16 Annual Quality Conference

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.

Free CDC Infection Control CEs

CDC is presenting several new free CE-available online Infection Control training programs:

  • 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
    • CLABSI
    • CAUTI

Diabetic Foot Care

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.

MAC Toolkits; Transplant, Transitions, Medications

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.

6/12+ Infection Control Tools

  • 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.