DQI
More DQI
PD
Fall 2021 P&P
Covid/Infection Control
100
When do I have to turn in a weekly CAP?
When do I have to join weekly DQI outlier call?
DQI <60
DQI <50
100
10 Second Access check
Elevate Arm - check outward and inward
Thrill - feel the thrill
Bruit - Listen with stethoscope
100
Some of the potential benefits of PD include:
- Control of your own treatment and a more-flexible schedule
- Functions more like natural kidneys
- Supports preservation of remaining kidney function, leading to better clinical outcomes
- Better transplant success rate
100
New Patient Pre-Treatment Evaluation - A registered nurse (RN) as required by federal regulation will perform an initial pre-treatment evaluation for visitors.
True or False
True
The New Patient Pre-treatment Evaluation for patients includes guest, transfer AND any patient who is dialyzing for the first time at the facility.
100
Covid Teammate Weekly Testing - 3 BDP's
- Please check TM’s every Monday and Tuesday.
- Please check Anaplan on Wednesday and Thursday for results.
- If results are not in Anaplan, please check Reportal.
- If results are in Reportal, double check TM’s name and DOB in Reggie which name will then flow into Snappy.
- Check box if TM is not working that week in Anaplan.
200
What is the CVC pathway? 7 steps
Patient education, vessel mapping, surgical evaluation, placement, maturation, cannulation, removal.
200
What is the number of surveys you need to qualify for CAHPS?
30 completed surveys over the past two survey periods combined.
200
A complication of PD—is associated with increased risk of loss of albumin, hospitalization, mortality, loss of PD catheter, and permanent transfer to HD.
Peritonitis
200
Patients will be informed of their options for treatment modalities when initial treatment begins (within the first ____ days after admission to the facility). -
Was 3 weeks.
Changing to first 30 days so that the timeframe is aligned with the due date timing of the Social Work (SW) Assessment
200
When screening on a patient, what PPE is required?
Wear DaVita-provided PPE (gloves, gown, mask, protective eyewear)
300
Every missed treatment increases your risk of hospitalization by____ in the next ___ days.
41% in the next 30 days.
300
Reallocation of points in DQI ICHD.
Hospital 30, Missed tx 20, Readmission 10, CVC in use 20, Adequacy 10, CAHPS 10
300
PD Modality Loss -____% of patients are lost from PD in their first year of therapy, including ~___% in their first three months.
50 % of patients and 18% in their first 3 months
300
What was changed on the Emergency Equipment check list? P&P 1-02-08A
300
How often should Transducer protectors be checked?
What actions should be taken if fluid is visible on the back side?
Every 30 minutes and changed when wet.
Biomed notified if fluid is visible on the back side of the transducer protector facing machine and machine removed from service at end of treatment.
400
What is the 3 Pillars of transition of care - Readmission
Dialysis Prescription adjustment
Medication management
Care coordination
400
Patients with a CVC are __ times as likely to develop a blood stream infection and ___ times as likely to require hospitalization as patients with a permanent vascular access.
10 likes to develop BSI and 3x likely to require hospitalization
400
True of False
PD is not practical for anyone who is overweight, tall or muscular.
False. People with large body masses can do well on PD. People who are on PD and overweight should be monitored carefully because of an increased risk of catheter infections and peritonitis.
400
Social Workers complete depression screening every ____.
Social Workers now complete depression screening annually as opposed to every 6 months
400
The # of times glove changes should occur, per policy, when performing (initiating) CVC care (do not count termination.)
4-5 times (If patient mask needs adjustment at start of treatment that would require separate glove change)
500
Your Missed Treatments Performance affects QIP and Five-Star. What is the percentage for both?
Missed treatments affect 25% of Five Star and 20% of QIP! So driving DQI also drives your publicly reported data initiatives.
500
Nearly 1 out of every 3 hospitalizations is a readmission; patients who are readmitted have ___ higher mortality rate than patients with only a single hospitalization even.
48% higher mortality
500
PDC Pathway - 7 steps
1) Submit insurance verification. 2) PD Cath eval by MD. 3) Placement of PDC. 4) Schedule PD Training.5) Provide first PD Training. 6) CVC removed 7) Provide final PD training.
500
Patients with known or suspected seasonal influenza will be placed on droplet precautions for a minimum of ___ days from the onset of symptoms. While droplet precautions are being maintained, the patient will continue to wear a procedural or surgical mask during the delivery of the dialysis treatment.
A nephrologist order is NOT or necessary to have a patient wear a mask during the delivery of the dialysis treatment while maintaining droplet precautions.
5 days
Not necessary.
500
When is hand hygiene perform: 6 answers
Monthly Infection Control Audit.
• Prior to entering and leaving treatment area • Prior to gloving, after removal of gloves • Between patients • After contamination with blood or other infectious material • After patient and machine contact • Before touching clean areas; i.e. counter tops, supply carts or medication carts