Dialysis Center ESRD Safety, Infection Control & Quality Checklist #16
This checklist supports compliance with CMS End-Stage Renal Disease (ESRD) Conditions for Coverage, focusing on patient safety, water treatment, infection prevention, equipment monitoring, staffing, and documentation readiness for dialysis facilities.
- Industry: Healthcare
- Frequency: Daily (each shift)
- Estimated Time: 30-45 minutes
- Role: Dialysis Clinic Manager / Nurse Manager
- Total Items: 35
- Compliance: CMS ESRD Conditions for Coverage 42 CFR 494, CDC Dialysis Infection Prevention Guidelines, AAMI Water Quality for Hemodialysis and Related Therapies, OSHA 29 CFR 1910.1030 Bloodborne Pathogens, HIPAA Privacy Rule 45 CFR 164
Patient Safety & Assessment
Verify patient assessment and safety monitoring.
- Pre-treatment assessment completed?
- Vital signs monitored per protocol?
- Fall precautions implemented?
- Photo of treatment area
- Notes
Infection Prevention
Ensure strict infection control practices.
- Hand hygiene performed before/after patient contact?
- PPE used appropriately?
- Dialysis machines disinfected between patients?
- Photo of PPE/machine setup
- Notes
Water Treatment & Dialysate Quality
Verify water treatment system safety.
- Water quality testing within limits?
- Water treatment alarms functional?
- Water treatment logs current?
- Photo of water treatment system
- Notes
Dialysis Equipment Safety
Assess dialysis equipment readiness.
- Machine safety checks completed?
- Maintenance logs current?
- Alarm limits set appropriately?
- Photo of machine
- Notes
Medication Management
Verify medication safety.
- Medications prepared safely?
- Heparin handled and labeled correctly?
- Medication errors reported?
- Photo of medication area
- Notes
Staffing & Training
Verify staffing and competency.
- Staffing levels meet patient needs?
- Staff training current (ESRD, infection control)?
- Credentials/licensure verified?
- Photo of staffing board
- Notes
QAPI & Incident Reporting
Ensure quality monitoring.
- Incidents logged per policy?
- QAPI activities documented?
- Corrective actions implemented?
- Photo evidence (if applicable)
- Notes
Related Healthcare Checklists
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Why Use This Dialysis Center ESRD Safety, Infection Control & Quality Checklist #16?
This dialysis center esrd safety, infection control & quality checklist #16 helps healthcare teams maintain compliance and operational excellence. Designed for dialysis clinic manager / nurse manager professionals, this checklist covers 35 critical inspection points across 7 sections. Recommended frequency: daily (each shift).
Ensures compliance with CMS ESRD Conditions for Coverage 42 CFR 494, CDC Dialysis Infection Prevention Guidelines, AAMI Water Quality for Hemodialysis and Related Therapies, OSHA 29 CFR 1910.1030 Bloodborne Pathogens, HIPAA Privacy Rule 45 CFR 164. Regulatory-aligned for audit readiness and inspection documentation.
Frequently Asked Questions
What does the Dialysis Center ESRD Safety, Infection Control & Quality Checklist #16 cover?
This checklist covers 35 inspection items across 7 sections: Patient Safety & Assessment, Infection Prevention, Water Treatment & Dialysate Quality, Dialysis Equipment Safety, Medication Management, Staffing & Training, QAPI & Incident Reporting. It is designed for healthcare operations and compliance.
How often should this checklist be completed?
This checklist should be completed daily (each shift). Each completion takes approximately 30-45 minutes.
Who should use this Dialysis Center ESRD Safety, Infection Control & Quality Checklist #16?
This checklist is designed for Dialysis Clinic Manager / Nurse Manager professionals in the healthcare industry. It can be used for self-assessments, team audits, and regulatory compliance documentation.
Can I download this checklist as a PDF?
Yes, this checklist is available as a free PDF download. You can also use it digitally in the POPProbe mobile app for real-time data capture, photo documentation, and automatic reporting.