US · guidance
CMS SOM App. H, Tag V148
CDC RR-10 Requirements as Adopted by Reference 42 CFR 494.30(a)(2)
Central Venous Catheters, Including PICCs, Hemodialysis, and Pulmonary Artery
Catheters in Adult and Pediatric Patients.
I. Surveillance
▪ Conduct surveillance … to determine CRBSI rates, monitor trends in those rates, and
assist in identifying lapses in infection-control practices.
▪ Investigate events leading to unexpected life-threatening or fatal outcomes. This
includes any process variation for which a recurrence would likely present an adverse
outcome.
Interpretive Guidance § 494.30(a)(2)
Citing noncompliance with this requirement should be considered if there is lack of evidence of
surveillance for catheter-related infections.
A log or another tracking mechanism, such as the Dialysis Module of the National Healthcare
Safety Network (NHSN), should be used. Both the surveillance log/database and the patient's
individual medical records should contain detailed information on catheter infections and other
adverse events, such as, but not limited to prolonged bleeding, stenosis/clotting, allergic
reactions, pyrogenic reactions, cardiac arrests, hospitalizations, and deaths.
Refer to V637 under the Condition: Quality Assessment and Performance Improvement (QAPI).
History
Rev.
Provenance
- Source
- cms.gov
- Retrieved
- 2026-07-22
- Edition
- som-2026-07-22
- Content hash
896900d00ed60daa1af9e97c1c1b2dcf5204e80c228fb622b507a9bfb62e148a
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