CMS SOM App. H, Tag V111

minimize the transmission of infectious agents within and between the unit and any

adjacent hospital or other public areas.

Interpretive Guidance §494.30

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A sanitary environment is achieved through the implementation of cleanliness standards within

the facility and treatment area to prevent the spread of infections. This includes adhering to

“Standard Precautions” for all healthcare settings, as well as the more stringent precautions

recommended by the CDC for hemodialysis units due to the increased potential for

contamination with blood and pathogenic microorganisms. See the linked CDC report for

guidance on infection control precautions recommended for outpatient hemodialysis units.

“Standard Precautions” apply to the care of all patients in any healthcare setting and

include the use of gloves, gown, or mask whenever needed to prevent contact of the

healthcare worker with blood, secretions, excretions, or contaminated items.

Standard Precautions are the CDC’s recommended system of infection control precautions for

all health care settings. Standard Precautions evolved from Universal Precautions (UP) and

Body Substance Isolation (BSI), based on the principle that all blood, body fluids, secretions,

and excretions (except sweat), non-intact skin, and mucous membranes may contain

transmissible infectious agents.

Dialysis facilities should adhere to Standard Precautions for all healthcare settings and the

additional precautions recommended for hemodialysis facilities to ensure effective infection

control. Infection control requirements apply to both the chronic dialysis in-center facility and

any home dialysis program(s).