![]() Throughout the hemodialysis process, the employee should perform additional hand hygiene before and after touching the patient or after touching equipment or items near the patient. After cleaning the hemodialysis set and disposing the waste materials, the employee should perform hand hygiene. After performing the cannulation and connecting a hemodialysis line to the machine, the employee should put on gloves and perform hand hygiene. ![]() Then, the employee should perform hand hygiene and put on gloves before preparing the skin for cannulation. When the hemodialysis machine is ready, the employee should perform hand hygiene before checking the vital signs of the patient. After the inspection, hand hygiene should be performed before the preparation of the hemodialysis set and priming. When there is a patient with a mature arteriovenous fistula for hemodialysis, the employee should locate, inspect, and palpate the needle cannulation site after performing appropriate hand hygiene. ![]() The following is an example of how and when to perform hand hygiene during the hemodialysis process. A rapid response system should be established for emergency situations such as epidemics and national disasters related to infectious diseases (IB, IC).įor all vascular accesses, aseptic techniques should be used for cannulation and catheter manipulation. If the healthcare facility does not have an infection control division or committee, the director of the healthcare facility may assume the same role. Employees in the dialysis room should perform the infection control and prevention measures in cooperation with the infection control division or committee. The infection control division or committee should closely examine the outbreak and provide the appropriate infection control measures to the dialysis room staff. The occurrence of an outbreak should be reported to the infection control division or committee immediately. The head of the dialysis room should identify the occurrence of outbreaks or epidemics of infectious diseases (IB). The problems identified by surveillance activities may be addressed in the quality improvement process (IB).Īn outbreak is a sudden increase in the occurrence of an infection or colonization at a particular time and place, or the sudden occurrence of an unusual disease. Surveillance and monitoring activities should be followed by adequate employee education and the development of corrective actions (IB). The results of these activities should be reported to the leadership and shared among the clinical staff (IB). Ongoing surveillance activities may identify health-associated events or problems about which recommendations and action plans can be developed to minimize infection transmission and reduce future incidents (IB). The dialysis room should be monitored for a certain period so that infection control issues can be identified in terms of the units, infection sites, microorganisms, etc. The infection prevention and management program should include infection surveillance and monitoring processes, strategy development to reduce or minimize the risk of infection, and evaluation and feedback processes for redesigning and implementing the revised program (IB). ![]() If the healthcare facility does not have an infection control division or committee, the head of the healthcare facility can manage the program, and the employees in the hemodialysis room should follow the rules and procedures recommended by the program. To reduce or minimize healthcare-associated infections in the hemodialysis room, the infection control division or committee of each healthcare facility should operate an infection prevention and management program, including an infection risk assessment (IB). Keywords: Hemodialysis units, Hospitals, Infection control, Practice guideline This special report summarizes the key recommendations from the Korean clinical practice guidelines for preventing the transmission of infections in hemodialysis facilities. The areas of infection control covered by these guidelines include standard precautions, isolation strategies, vascular access, water treatment, cleaning/disinfecting/sterilizing, and vaccination. Therefore, clinical practice guidelines were developed by a working group of nephrologists and infection control specialists to provide evidence-based guidance for dialysis physicians and nurses, with the aim of preventing infection transmission and controlling infection sources in hemodialysis facilities. To protect patients, staff, and visitors from potential infections, each hemodialysis unit should establish and follow standard infection control and prevention measures. Patients receiving hemodialysis are vulnerable to infectious diseases due to their impaired immunity and high risk of exposure to pathogens.
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |