US · guidance
CMS SOM App. H, Tag V407
§ 494.60(c)(4) Patients must be in view of staff during hemodialysis treatment to ensure
patient safety, (video surveillance will not meet this requirement).
Interpretive Guidance §494.60(c)(4)
Each patient, including their face, vascular access site, and bloodline connections, must be
visible to a staff member throughout the dialysis treatment. Allowing patients to cover access
sites and line connections provides an opportunity for accidental needle dislodgement or a line
disconnection to go undetected. This dislodgement or disconnection could result in
exsanguination and death in minutes.
History
Rev.
Provenance
- Source
- cms.gov
- Retrieved
- 2026-07-22
- Edition
- som-2026-07-22
- Content hash
2d031c26a29ebede417676d5f667fe005d47832cc5091c41c1e7294a4b540fb3
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