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Reducing Long-Term Catheter (LTC) Use

Diverse Support Group Inside Hospital with Busy Nurses

Following are links to tools that will assist you in achieving your LTC/BSI reduction goals:

Catheter Tracking Form

  • This Catheter Tracking form (XLSX) tracks the number of catheters in the facility by month. Use this tracker when completing your monthly reporting to the Network via Survey Monkey link.

Quality Assessment and Performance Improvement (QAPI) Resources

CDC Resources

  • CDC Infection Protection Tools Page
    This page includes additional links to all CDC infection protection tools, including core interventions, the Scrub-the-Hub Protocol, all audit tools and checklists, as well as clinician education.

Other Provider Resources

  • Vascular Access Consultation Appointment Sheet
    This appointment sheet is a helpful way to remind and encourage patients to seek a vascular access consultation.

  • Vascular Access Options (English/ Spanish)
    This patient handout illustrates the vascular access options for patients. Review this handout with your patients upon admission to educate them on dialysis access types and to help keep track of their next vascular access appointment.
  • Vascular Access Manager Job Description (PDF) A sample job description for staff offering suggested roles and responsibilities of a Vascular Access Manager (VAM).  This tool is designed to assist facilities in designating the role of a VAM to a staff member for more efficient tracking and monitoring of vascular accesses.
  • Helping Patients Cope with Needle Fear (PDF) This one-page document explains the reality of needle fear and offers tips for staff in helping to reduce the fear of needles.

Patient Resources

  • Benefits of Having a Permanent Access
    This document outlines the many benefits patients have shared for having a permanent dialysis access.
  • Sepsis Zone Tool
    This one-page document specifies and categorizes symptoms of sepsis and actions to be taken if those symptoms manifest by green—No Signs of Infection, yellow—Caution, and re—Medical Alert.
  • Sepsis Zone Tool—Spanish
    This one-page document specifies and categorizes symptoms of sepsis and actions to be taken if those symptoms manifest by green—No Signs of Infection, yellow—Caution, and re—Medical Alert.

  • Additional Tips for Needle Fear (PDF) (English/Spanish) This document offers strategies to help patients overcome the fear of needles so they can use their permanent dialysis access for dialysis treatments.

Quality Improvement Activities

End stage renal disease (ESRD) quality improvement activities (QIAs) are designed to assist dialysis facilities and transplant centers to achieve optimal clinical outcomes and experience of care for all dialysis and kidney transplant patients. Network 15’s QIAs are focused on enhancing the quality of service for Medicare beneficiaries by:

  • Gathering information systematically to clarify issues or problems.
  • Implementing interventions to achieve improvements.
  • Measuring quality outcomes.
  • Incorporating the patient voice in all activities to maximize learning 
    and cooperation between providers and patients through shared decision-making.
  • Supporting the spread of best practices.

For additional information about Network 15’s QIAs for 2020 and access to QIA documents, trackers, toolkits and best practices, read more below. Download the ESRD Network 15 2020 QIAs for 2020 (PDF) document.

Getting Started

To assist with quality improvement (QI) within your organization, review the following videos on QI, finding the root cause, and the Plan-Do-Study-Act (PDSA) cycle:

Use the Root Cause Analysis (RCA): 5 Whys Worksheet (PDF) to find the root cause that may be creating barriers to success, and use the PDSA Worksheet (PDF) to initiate facility solutions. 

If your organization missed a live Learning and Action Network (LAN) call, you may use the Missed LAN Call Worksheet.

New Resource: Getting Back to Me: A Goal-Setting Journey (PDF)

Use this workbook to help patients identify personal goals and set a plan to achieve them. This resource was developed by kidney patients and family members and designed to help restore a sense of dignity and increase self-esteem through goal-setting.