CMS SOM App. H, Tag V146

Infections” entitled “Recommendations for Placement of Intravascular Catheters in Adults

and Children” parts I – IV; and “Central Venous Catheters, Including PICCs,

Hemodialysis, and Pulmonary Artery Catheters in Adult and Pediatric Patients,”

Morbidity and Mortality Weekly Report, volume 51 number RR-10, pages 16 through 18,

August 9, 2002. The Director of the Federal Register approves this incorporation by

reference in accordance with 5 U.S.C. 552(a) and 1 CFR Part 51. This publication is

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available for inspection as the CMS Information Resource Center, 7500 Security

Boulevard, Central Building, Baltimore, MD or at the National Archives and Records

Administration (NARA). Copies may be obtained at the CMS Information Resource

Center. For information on the availability of this material at NARA, call 202–741–6030, or

go to: http://www.archives.gov/federal_register/code_of_regulations/ibr_locations.html

Interpretive Guidance § 494.30(a)(2)

It is the intention of the Conditions for Coverage to incorporate relevant guidance from the CDC

“Guidelines for the Prevention of Intravascular Catheter-Related Infections,” MMWR August 9,

2002/Vol. 51/No. RR-10, into the requirements for facility infection control practices. Much of

the material in this referenced guideline is general or relates to catheter selection, insertion, and

use in acute or relatively short-term situations. The elements of this guidance that are most

relevant to hemodialysis facilities address the risks posed by intravascular catheters and the

need for appropriate staff education, surveillance, vascular access care, and rigorous hand

hygiene to reduce these risks.

For purposes of these Conditions for Coverage, the portions of this document that are

incorporated by reference are mandatory and must be adhered to and demonstrated within the

dialysis facility.

Note: When words are inserted or altered in a direct quotation, square brackets—[]—are

placed around the change. The brackets enclose words intended to explain the quote or to help

integrate the quote into the guidance.

The entire CDC document “Guidelines for the Prevention of Intravascular Catheter-Related

Infections” includes background information and rationale for the CDC-recommended practices

and can be used as an informational resource. For reference, the document may be found at

https://www.cdc.gov/mmwr/preview/mmwrhtml/rr5110a1.htm.