The Centers for Medicare & Medicaid Services (CMS) has recently released two memos of guidance for End Stage Renal Disease (ESRD) facilities on cleaning the patient station and filing saline syringes at patient treatment station.
ESRD Facilities: Cleaning the Patient Station
- Cleaning the ESRD station between patients: The Centers for Disease Control and Prevention (CDC) has recommended that a dialysis station, in order to prevent cross contamination, be completely vacated by the previous patient before the ESRD staff may begin cleaning and disinfection of the station and set up for the next patient.
- Precaution: CMS reiterates that patients should not be moved from the dialysis station until they are clinically stable.
ESRD Facilities: Filling Saline Syringes at the Patient Treatment Station
Revised 06.06.17 ***Revised to Reflect a New Effective Date of July 2, 2017***
- Preparation of Medications: ESRD facilities must follow aseptic technique when preparing and administering intravenous medications; including the filling of syringes with sterile saline for use during the dialysis procedure.
- Filling Saline Syringes at the Station: Pursuant to current recommendations from the Centers for Disease Control (CDC), ESRD facilities may not fill syringes with saline from the single dose saline bag or IV tubing connected to the patient at the dialysis station. To comply with recommended safe injection practices, the facility may acquire pre-filled syringes or may prepare saline syringes for an individual patient in a clean area away from the patient treatment area.