Stenosis - 5 Diamond Patient Safety Program

Everything you need to complete this module is right here! Click on the links below to access the necessary tools and resources available for completion of this module.

Objective:

To implement a K-DOQI-recommended stenosis surveillance program in the dialysis unit that allows for a consistent and continuous evaluation process for AVF and AVG access.

Activities Required for Diamond Status/Measures:

100% of staff complete an in-service training module (PowerPoint Presentation) on stenosis surveillance.
100% of staff complete the Stenosis Surveillance Pre & Post Test Exercise.
Review your facility's policies and procedures for stenosis surveillance and identify opportunities for improvement.
Submit a de-identified stenosis tracking tool for trending stenosis surveillance.

Optional Activities:

Distribute Protect Your Lifeline brochure to patients and their families to facilitate patient-centered discussion of stenosis surveillance importance.
Complete the Protect Your Lifeline Word Challenge
Complete the Stenosis Monitoring & Surveillance Word Search
Identify accountability and methodology for trending stenosis surveillance
Assign a vascular access manager and assemble a vascular access team.

Tools/Resources:

In-service Training Module: Stenosis Surveillance
Optional PowerPoint Presentation: Vascular Access and the Conditions for Coverage. What You Must Do (with Speaker Notes)
Vascular Access Stenosis Surveillance Pre- and Post-Tests
K-DOQI Stenosis Surveillance Guidelines and Recommendations
PDSA Worksheet
Vascular Access Monitoring and the Conditions for Coverage - Requirements
Protect Your Lifeline Brochure including a patient vascular access record
Protect Your Lifeline Word Challenge
Stenosis Surveillance Change Concepts
Understanding Your Hemodialysis Access Options - AAKP brochure (available in English and Spanish)
How is Your Facility Monitoring Venous Stenosis? worksheet
Stenosis Monitoring & Surveillance Word Search and Answers
Stenosis Surveillance Tracking Tool

Printer friendly version of the Module Requirements List.

After you have completed the Stenosis Surveillance module, and you have documented the required measures, please complete and submit to your Network Office:

Vascular Access Stenosis Surveillance Pre- and Post-Tests

Completed Project Reporting Form
In-service attendance log
De-identified Stenosis Tracking Tool for trending of Stenosis Surveillance

If you have any questions or need assistance, please contact your specific Network.

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