HMT
What is the DQI goal for missed treatments?
Less than or equal to 5.8%
1. What is the goal for CVC?
2. What percentage is needed to get all CVC points?
1. Less than or equal to 13%
2. Less than or equal to 7%
What is the method to assess treatment choices for home dialysis called?
MATCH-D
IDWG goal?
Less than or equal to 28%
1. When should you hold a governing body?
2. Give 3 examples of why a governing would need to be held.
1. At least annually, but as often as needed in order to carry out governance
2. Staffing concerns, CAT and Survey result review, new P&P rollout, credentialing, change in leadership, facility concerns, IVC, Disasters.....YOU CAN'T HAVE TOO MANY GOVERNING BODY MEETINGS.
How often is best demonstrated practice for snappy/falcon clean up?
Weekly
1. How many chair side chats are required in the education step?
2. In what time frame should those chair side chats be completed?
3. Who is responsible for documenting those chair side chats in the OST?
1. 4
2. Within the first 3 weeks of new patient start
3. AAM
10%
PW greater than TW goal?
Less than or equal to 25%
What is the contact time and dry time for Betadine, Alcohol, and Except for AVF/G cleaning?
Betadine: 30 second contact, 2 minute dry
Alcohol: 60 second contact, 15 second dry
Except: 60 second contact, 2 minute dry
Missed treatments are based on what 3 items within the treatment/training order?
1. Start Date
2. End Date
3. Days checked within order based on frequency of Nephrologist for the current Sunday-Saturday week
What new button do you select in the one stop tool to change the CVC pathway to PDC pathway?
PD Modality Transfer Expected
Name the barriers that prevent patients from being a home candidate.
This is an old way of thinking, there are few absolute barriers. The only true barrier for a patient is if they have performed PD in the past and had membrane failure. Patients need to be assessed by the home teams.
Where does a good fluid process start?
At the scale, with accurate weight data
1. What does empty bed contact time mean?
2. How long is the contact time?
1. The time the RO water is in contact with the media
2. CMS requires 5 minutes per tank, for a total of 10 minutes
During the snappy reconciliation process, why would the system create a missed treatment type "unknown"?
The system searches for the number of physician ordered treatments to match the number of treatments reconciled as given or not given. If those numbers don't match, the system will generate a missed treatment type of unknown.
How long does it take for a graft to mature?
Grafts are made of man made material and do not mature, most grafts can be cannulated in approx. 2 weeks.
Name the annual initiative intended to build home dialysis patients awareness and provide additional education to ICHD pts throughout the season they could benefit from home the most.
Home for the Holidays
What does the PD fluid pathway focus on?
Sodium restriction of 2000mg and fluid restriction of 1000ml (plus urine volume per day)
What is the number one way to stay survey ready?
Monthly completion of the SOS Quality Indicator worksheets
When is the last opportunity to make final corrections to data in Snappy of Falcon before it is pulled into DQI?
The Monday before the second Tuesday of the following month.
Name in order all 7 steps of the CVC removal process
1. Education
2. Vessel Mapping
3. Surgical Eval
4. AVG/F Surgery
5. AVF Maturation
6. First Cannulation
7. CVC Removal
Form required for home nurses to handle facility delivered medications on behalf of patients.
Agent Designation Form- DUE on all pts by 12/31
Define frequent excessive IDWG metric
Weight gain between treatments greater than 5% of target weight in great than 10% of their treatments in the last 91 days from report month-end. For ICHD Only.
1. What is the name of the report you can provide a surveyor that provides all of the initial information they will need?
2. Where can you find this report?
1. Core Survey Report
2. FHR, under reports