CMS SOM App. H, Tag V132

Infection Control Training and Education

Infection control practices for hemodialysis units: intensive efforts must be made to

educate new staff members and reeducate existing staff members regarding these practices.

END CDC RR-05 REQUIREMENTS

Interpretive Guidance § 494.30(a)(1)(i)

Training and education in infection control rationales and practices appropriate to the

responsibilities and task assignments of staff members at risk for occupational exposure to blood

must be provided initially upon employment and at least annually. OSHA mandates dialysis staff

receive bloodborne pathogen training annually and CDC recommends infection control training

initially on employment and annually.

Topics must include (but are not limited to):

• Proper hand hygiene technique.

• Proper use of personal protective equipment (PPE).

• Infection control practices recommended for hemodialysis units and differences from

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Standard Precautions.

• Special precautions for HBsAg-positive patients.

• Proper infection control techniques for initiation, care, and maintenance of access

sites.

• Modes of transmission for blood-borne viruses, pathogenic bacteria, and other

microorganisms as appropriate.

• Proper handling, preparation, and administration of parenteral medications,

maintaining aseptic technique; and,

• Proper methods to clean and disinfect equipment and environmental surfaces to

minimize transmission of microorganisms.

• Rationale for segregating HBsAg-positive patients with a separate room, machine,

instruments, supplies, medications, and staff members; and,

• Centralized record keeping to monitor and prevent complications, including routine

serologic testing results for HBV and HCV, hepatitis B vaccine status, episodes of

bacteremia and loss of access caused by infection, and other adverse events.

Staff must demonstrate knowledge of infection control policies, procedures, and practices.

Personnel records must reflect that staff have received appropriate infection control training.

This particular requirement refers to the training and education of staff members. Infection

control training and education may also be extended to patients or their caregivers for

appropriate infection control behaviors and techniques (particularly on admission to dialysis

and annually thereafter. For a list of recommended topics, see page 31 of

https://www.cdc.gov/mmwr/pdf/rr/rr5005.pdf