A free webinar entitled Examining the Role of the Environment in Infections Across the Continuum of Care will be offered on October 25, 2017, using a case study to discuss the relationship between the environment, the patient and patient outcomes. The webinar will be hosted by the Emergency Nurses Association, the American Association of Critical-Care Nurses, and the Association of Rehabilitation Nurses. Continuing education credits are available for physicians, registered nurses, health educators, administrators, and others. Find more information and register at https://cc.readytalk.com/registration/#/?meeting=oc3w9mcfpy2d&campaign=v118qm5j6y49 .
This webinar is the third in the series Empowering Nurses to Protect Themselves and Their Patients, launched by the Nursing Infection Control Education Network (see https://www.annanurse.org/resources/special-projects-and-tools/infection-and-prevention-control) to address key issues surrounding infection prevention in healthcare facilities. ANA, CDC, and various nursing specialty organizations, including ANNA, have partnered to form the NICE Network, which seeks to empower nurses to protect themselves and their patients by providing infection prevention and control training to U.S. nurses.
Recording of the first two webinars are available online:
Future webinar topics in series include: Antibiotic Stewardship (December 2017), Injection Safety/Handling Hazardous Materials (February 2018), Disaster Preparedness and Infection Control (March 2018), and Infection Prevention and Control in Maternal and Child Health (March 2018).
NHSN has published their September NHSN Newsletter. Dialysis-related news is found on pages 15-16, but some of the general NHSN information on pages 17-20 also applies to dialysis. News includes:
A revised “NHSN Agreement to Participate and Consent” (“Re-Consent” for short) will be published in December, and all facilities must respond by February 24, 2018.
After January 1, 2018, including AKI patients will be mandatory, but they will be entered into a separate “AKI Location.” Some information is included below, but full details will be included with release of Version 8.8.
NHSN Version 8.8 is scheduled to be released in December 2017. Two webinars will introduce it:
In a separate bulletin, CDC has published some instructions for dealing with AKI patients in NHSN in 2018:
Beginning January 1, 2018, dialysis facilities should include AKI patients in NHSN Dialysis Event Surveillance. Reporting AKI patient data to a new, separate NHSN location will enable CDC to exclude AKI patient data from NHSN BSI information shared with CMS for purposes of the ESRD QIP.
The “AKI Location” should be used to report Dialysis Events and denominator data for patients who have AKI and do not have an ESRD diagnosis at the time of the Event, or denominator data collection. The “AKI Location” will be released as part of the NHSN version 8.8 update. Instructions for using the “AKI Location” are forthcoming.
Among patients included in the NHSN Dialysis Event Surveillance population, the following criteria should be used to identify patients who have acute kidney injury:
No diagnosis of ESRD in the patient medical record, or through the ESRD Medical Evidence Form (Form CMS-2728-U3) AND
Physician-diagnosis of AKI listed in the patient medical record (e.g., nephrologist consult or referral form) AND
The event date or date of denominator data collection is not more than 6 months after the date the patient initiated outpatient hemodialysis.
The numbers are not large, but deaths are being reported from West Nile Virus, with northern Los Angeles County reporting relatively more. The CDC web page on West Nile includes mosquito reduction methods and links to EPA reviews of insecticides; find it at https://www.cdc.gov/westnile/ . In most cases your state and county health departments also have their own pages on West Nile, with local instructions for reporting dead birds, which are markers for surveillance of the disease.
ANNA, NANT, and NKF will collaborate to present an October 22, 2017 Annual Renal Update 2017 in Irvine CA. Sessions will include Interventional Radiology and the HD Access, Preventing & Reporting BSI, From Battling Burnout to Finding Joy, Understanding Technology, Friendly Renal Meals, Transplantation, and Outpatient AKI. Register by October 12, 2017. Breakfast and lunch are included in the conference fee, and seven contact hours will be given. For full details see https://s3-us-west-2.amazonaws.com/nwrn.org/files/N/18RenalUpdate1017.pdf .
September is Sepsis Awareness Month. Start with the video Domino Effect at https://www.youtube.com/watch?v=H_IArvYx_vo . CDC has assembled a web page with links to relevant useful resources for facilities, for patients, and for social media, including: