10/25 ANNA Infection Webinar

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).

The ANNA Infection Prevention and Control Program also includes a number of other free continuing education opportunities.  Find these at https://www.annanurse.org/resources/special-projects-and-tools/infection-and-prevention-control .

10/22 NW16 Quality Conference

The Network 16 Annual Quality Conference will be held October 22, 2017 in Tukwila WA, near the Seattle-Tacoma International Airport.  The Conference will feature sessions on mental illness, fluid control, new CMS rules, AKI and residual function, and palliative care.  The registration fee includes continental breakfast, lunch, parking, airport shuttle, and five CE credits for nurses, social workers, technicians, and dietitians.  Find full details at https://s3-us-west-2.amazonaws.com/nwrn.org/files/N/NW16QC.Agenda.pdf .

NHSN News

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:
  • Volunteers are solicited for beta testing of Version 8.8 with simulated data.
  • A plea for NHSN users to keep their User Contact Information current (pp.18-20).

Find a copy of the Newsletter at https://www.cdc.gov/nhsn/newsletters/index.html .

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.

11/3 CNSW NW Educational Conference

The Northwest Chapter of CNSW will hold their Fall 2017 Educational Conference on November 3, 2017 in Issaquah WA.  The all-day topic is Dialectical Behavior Therapy.  5.25 CEUs are pending.  For full details and registration, see https://s3-us-west-2.amazonaws.com/nwrn.org/files/N2/CNSW1117.pdf .

11/7+ NW16 CNSW Transplant Conference

The CNSW Oregon & Southwest Washington Chapter will present a November 8, 2017 Workshop near the Portland International Airport on Increasing Access to Kidney Transplantation.  Sessions will include transplant access, allocation, and education.  Three Intermediate Level CEUs are anticipated.  The conference fee includes breakfast and lunch.  Advance registration is discounted.  For details see https://s3-us-west-2.amazonaws.com/nwrn.org/files/N/CNSW1117.pdf .