Infection Control
DQI Metrics
Fluid
CVC / Access
Miscellaneous
100

upon entering & exiting tx floor, before and after touch patient

What is hand hygiene?

100

greater than 60

What is goal for DQI?

100

adjustment within 2 TXs 

What is TWA post hospitalization?

100

conducted pre / post tx 

What is washing AV Access and washing hands?

100

Initial Assessment; 2 Step TB; Chest Xray, Hep B Ag, AB and Core

What are admission requirements?

200

< / = 1/4 length

What are artificial nails?

200

Adequacy, CVC in Use, Optimal Fluid, Missed Treatments, Flu

What are components of DQI?

200

Conducted before the start of shift and or at the end of the day

What is Fluid & BP Protocol?

200

16% or <

What is goal for CVC rate?

200

< 0.1

What is normal chlorine level?

300

Gowns, mask, face shield, gloves

What is adequate PPE?

300

85% or >

What is goal for FLU?

300

>5% =of TW

What is excessive IDWG?

300

68% or greater

What is goal for AVF %?

300

Nsg Assessment, VS data entry, weight entry, RX, Machine settings, Intradialytic Monitoring; Data collection, BP & HR parameters

What is Pre- Intra- Post-Data Collection & Monitoring Policy #1-03-08

400

chair opened up, fully reclined, dialysis machine, prime buckets, tv, chase boxes

What is disinfection of dialysis station?

400

75% or greater

What is goal for Optimal Fluid?

400

UFR of 10 mL/kg/ hr

What is recommended UFR for AKI pts?

400

Steps 1 thru 7

What is CVC Pathway?

400

Pamela Gales & Amber Rushing?

What is Team MCS?

500

Look, listen, feel, raise arm, collapse of AVF

What is 10 second access check?

500

Rate >/= 80%

What is the goal for Reschedule rate?

500

UFR 13mL/kg/hr

What is maximum UFR for ESRD pts?

500

15 seconds or greater

What is scrub the hub for CVC care?

500

Hypertensive, Hypotensive, F/U, Documentation, intervene and Call MD

What are abnormal findings / actions?