March 15th Town Hall Call Summary

Lisa Volk in Clinical & Quality

As a follow-up to our Town Hall Meeting here are two areas to take a closer look at as you prepare for the new survey process. At the end of the mailing you will see the link to down load the critical element pathways. Use these pathways to help prepare you for the new survey process.

FDA Guidance Related to Entrapment

We first brought this issue to the membership’s attention in a Member Mailing-Provider Alert posted on April 6, 2015. All providers should be using the 2006 FDA guidance located at  https://www.fda.gov/MedicalDevices/ProductsandMedicalProcedures/GeneralHospitalDevicesandSupplies/HospitalBeds/default.htm  as a part of their ongoing bed safety program to help identify entrapment risks that may exist in any of the 7 zones addressed by the guidance. We strongly encourage all providers to download a copy of this guidance and review it with appropriate staff to ensure proper ongoing monitoring of this serious issue.

Resident’s Receiving Dialysis

Just as a reminder for providers when preparing for the new survey process for a resident receiving dialysis at a certified dialysis facility must ensure the following:

Assess and document vital signs, including the blood pressure in the arm where the access site is not located, weights if ordered and communicate the information including the resident’s status with the dialysis facility prior to and post dialysis

Provide assistance and safe transportation to and from dialysis

Administer meds or meals before or after dialysis as ordered;

Provide direct visual monitoring of the access site before and after dialysis

Provide ongoing monitoring and care of the resident’s vascular access (fistula, graft, or central venous catheter) for HD, catheter for PD as ordered, and provide ongoing monitoring for dialysis related complications (e.g., bleeding, access site infection, or hypotension).

Monitor the communication log from dialysis center for any adverse outcomes at dialysis that must be follow-up or medication adjustments etc.… 

Here are the links to the full critical pathways:

https://www.cms.gov/Medicare/Provider-Enrollment-and-Certification/GuidanceforLawsAndRegulations/Downloads/LTC-Survey-Pathways.zip 

If you were unable to attend the call, here is the link to the recording. The recording will only be available until April 13th.

NYSHFA CONTACT:

Lisa Volk, RN, B.P.S., LNHA
Director, Clinical & Quality Services
518-462-4800 x15