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Observations in the Field Concerning Infection Control Practices in Dialysis
Allison Hunn1,2, Jennifer Vavrinchik3,4,5,6
1Nurse Surveyor, National Dialysis Accreditation Commission (NDAC), Glen Ellyn, IL.
Summary
This study reviews infection control practices in dialysis facilities, highlighting the importance of hand hygiene, disinfection, and catheter care for patient safety. Findings offer guidance for nephrology nurses, including post-COVID-19 pandemic recommendations.
Area of Science:
- Nephrology
- Infection Prevention and Control
- Public Health
Background:
- Dialysis facilities require stringent infection control to prevent patient infections.
- Patient safety is paramount in hemodialysis settings.
- Adherence to best practices mitigates risks associated with invasive procedures.
Purpose of the Study:
- To review infection prevention and control (IPC) practices in dialysis settings.
- To analyze survey findings on critical IPC areas.
- To provide implications and guidance for nephrology nursing.
Main Methods:
- Review of survey findings on infection control practices.
- Analysis of data related to hand hygiene, disinfection, medication safety, and catheter care.
- Examination of hepatitis B surveillance data.
Main Results:
- Survey identified areas for improvement in hand hygiene and disinfection.
- Central venous catheter management requires consistent adherence to protocols.
- Medication preparation and administration showed variability.
- Hepatitis B surveillance data informs ongoing risk assessment.
Conclusions:
- Consistent application of IPC best practices is essential in dialysis units.
- Nephrology nurses play a vital role in implementing and monitoring IPC measures.
- Updated guidance is needed, especially considering post-pandemic challenges like COVID-19.
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