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Video instructions and help with filling out and completing Inpatient dialysis billing
Each year more than 75 thousand hospital patients including patients on dialysis become infected with central line-associated bloodstream infections and as many as 25% of those infected patients die according to a study conducted by the US Centers for Disease Control and Prevention when initiating dialysis with a fistula or graft medical professionals must follow recommended infection prevention guidelines doing so can reduce the rate of central line-associated bloodstream infections decrease hospital costs and most importantly improve clinical care hand hygiene is the first vital step to initiating dialysis with a fistula or graft and is a primary factor in reducing infections in the dialysis center alcohol-based hand rub is the preferred method for routine hand hygiene apply the product to the palm of one hand make sure to cover all surfaces of your hands and fingers then rub your hands together until they're dry you must perform hand hygiene before touching a patient before beginning a clean or sterile procedure after being exposed to body fluid after touching a patient and after touching the patient's surroundings you must also perform hand hygiene before you put on new clean gloves after each interaction you have with a potentially contaminated surface you should remove your gloves and perform hand hygiene you are not required to wear gloves before assembling supplies at the patient cubicle but you must perform hand hygiene to reduce the risk of contaminating the outside of the supply packages with microbes supplies needed include a clean barrier antiseptic agent clean gloves and two sterile dialysis needles for cannulation of the arteriovenous or AV access as well as two syringes filled with sterile saline these supplies are typically placed on top of the clean barrier on the tray attached to the dialysis chair once your supplies are gathered wash the skin over the AV access with soap and water or an antibacterial scrub in some centers the patient may perform this procedure on his or her own you must verify if the patient has done this either by observing it or asking the patient if he or she has washed the skin if the patient is unable or unwilling to do this task you must complete this procedure before moving on to the next step next inspect the AV access site for both infectious and non-infectious abnormalities be careful when you palpate the cannulation site to identify specific sites for insertion of the dialysis needles if you're not wearing sterile gloves and you palpate over the area that was just cleaned then you may contaminate what was previously considered a clean site as a result when the needle is inserted bacteria can enter the bloodstream given this risk please make sure that you follow sterile procedures carefully and repeat them as needed before inserting the cannulation needle place a sterile or new clean barrier under the arm containing the AV access to create a local procedure area and reduce the risk of blood contamination of the dialysis chair.