Davita Carthage Dialysis

“IC-STAFF EDUCATION-CATHETERS/CATHETER CARE CFR(s): 494.30(a)(2) Recommendations for Placement of Intravascular Catheters in Adults and Children I. Health care worker education and training A. Educate health-care workers regarding the ... appropriate infection control measures to prevent intravascular catheter-related infections. B. Assess knowledge of and adherence to guidelines periodically for all persons who manage intravascular catheters. II. Surveillance A. Monitor the catheter sites visually of individual patients. If patients have tenderness at the insertion site, fever without obvious source, or other manifestations suggesting local or BSI [blood stream infection], the dressing should be removed to allow thorough examination of the site. Central Venous Catheters, Including PICCs, Hemodialysis, and Pulmonary Artery Catheters in Adult and Pediatric Patients. VI. Catheter and catheter-site care B. Antibiotic lock solutions: Do not routinely use antibiotic lock solutions to prevent CRBSI [catheter related blood stream infections]. This Standard is not met as evidenced by: 51294 Based on policy review, observation and interview, the patient care staff failed to disinfect the CVC (Central Venous Catheter) exit site with 2 % Chlorhexidine Gluconate/70 % Isopropyl alcohol for 30 seconds per facility policy for 2 of 2 observed CVC exit sites disinfected with Chlorhexidine (PCT #1, Station #8 and PCT #2, Station #13). Findings include: 1. Review on 12/10/2025 of the facility policy/procedure titled “Central Venous Catheter (CVC) With Clearguard HD Antimicrobial End Caps Procedure” effective April 2025 revealed “... 8. Holding catheter with the non-dominant hand and using aseptic technique, clean exit site with 2% Chlorhexidine Gluconate/70% Isopropyl Alcohol swab for minimum of 30 seconds...” Observation on 12/10/2025 at 1138 in the patient treatment area revealed PCT #1 entered Station #8 and initiated CVC exit site care for dialysis treatment with a CVC. PCT #1 cleansed the CVC exit site and area around site with 2% Chlorhexidine for less than 30 seconds. Observation revealed that the PCT failed to disinfect the CVC exit site for thirty (30) seconds per facility policy. Interview on 12/10/2025 at 1250 with PCT #1 revealed that the CVC exit site should be disinfected for “15-20 seconds.” The interview confirmed that PCT #1 did not follow the facility policy for CVC exit site disinfection. Interview on 12/10/2025 at 1548 with the Facility Administrator revealed the staff were expected to disinfect the CVC catheter exit site with Chlorhexidine swabs for 30 seconds and allow the site to dry for 60 seconds prior to applying new dressing per facility policy. Interview revealed the staff failed to follow the facility policy. 2. Observation on 12/10/2025 at 1228 in the patient treatment area revealed PCT #2 entered Station #13 and initiated CVC exit site care for dialysis treatment with a CVC. PCT #2 cleansed the CVC exit site and area around site with 2% Chlorhexidine for less than 30 seconds. Observation revealed that the PCT failed to disinfect the CVC exit site for thirty (30) seconds per facility policy. Interview on 12/10/2025 at 1240 with PCT #2 revealed that the CVC exit site should be disinfected for “a couple seconds.” The interview confirmed that PCT #2 did not follow the facility policy for CVC exit site disinfection. Interview on 12/10/2025 at 1548 with the Facility Administrator revealed the staff were expected to disinfect the CVC catheter exit site with Chlorhexidine swabs for 30 seconds and allow the site to dry for 60 seconds prior to applying new dressing per facility policy. Interview revealed the staff failed to follow the facility policy.”