Assessing gaps in dialysis station disinfection practices at a local outpatient dialysis facility

Dialysis;Disinfection and disinfectants -- Wisconsin -- La Crosse;Public health -- Wisconsin -- La Crosse

Bomesberger, LeahGilmore, Gary ;

University of Wisconsin

关键词: Dialysis;    Disinfection and disinfectants -- Wisconsin -- La Crosse;    Public health -- Wisconsin -- La Crosse;   

Others  :  https://minds.wisconsin.edu/bitstream/handle/1793/79375/Bomeberger_Leah_Thesis.pdf?sequence=1&isAllowed=y

瑞士|英语

来源: University of Wisconsin

【 摘 要 】

Infection is the second leading cause of hospitalization and death in the dialysis patient population. Hemodialysis requires direct access to the patient;;s blood; therefore, the area that the patient inhabits during treatment has the potential to be contaminated. Nursing staff are required to disinfect the patient station between each patient who utilizes the dialysis machine. The purpose of this project was to better understand the multi-layered approach at reducing patient infections at an outpatient dialysis facility with station disinfection. A needs and capacity assessment was performed to determine future protocols and sustainable educational objectives regarding station disinfection. Infection control environmental surveillance methods were used to objectively determine the cleanliness level of the surfaces in the dialysis station. In-depth interviews with infection control leadership, dialysis staff members, and patients were completed to gather themes and gaps in station disinfection processes. Results from both objective surveillance and interviews demonstrate that providing hands-on educational skills to staff, especially when unique cleaning situations arise, are needed. Providing strong rationale and definition of tasks that are required of staff, and patients, are recommended. Infection control within the dialysis patient population is an emerging priority that demands the interest of multiple stake-holders, specifically in station disinfection.