F-Tag Library On-Demand Series-F698 Dialysis

Video Transcription

Video Summary

This presentation covers regulatory requirements for F698 regarding dialysis care in nursing homes, as per CMS's Appendix PP. Facilities must ensure residents requiring dialysis receive care consistent with professional standards, individualized care plans, and resident preferences. Key requirements include ongoing assessment before, during, and after dialysis; safe administration by qualified staff; infection control; and strong communication between the nursing home and dialysis facilities. Staff must monitor residents closely, especially those cognitively impaired, and coordinate emergency responses.<br /><br />Policies should cover staff qualifications, training, dialysis procedures, documentation, infection control, emergency management, and equipment handling. Nursing homes must assist residents in choosing dialysis providers and ensure safe transportation. Training for staff must address both hemodialysis and peritoneal dialysis practices, including emergency recognition and response.<br /><br />Compliance involves thorough documentation, effective communication with physicians and dialysis providers, and care coordination. Deficiencies result in citations with specific corrective actions, including root cause analysis, policy review, staff education, and continuous monitoring. Facilities should integrate dialysis care audits, update policies as needed, and ensure ongoing staff competency. The Quality Assurance and Performance Improvement (QAPI) committee plays a vital role in overseeing compliance and addressing complications. Resources and further guidance are available for facilities seeking to meet these standards and enhance dialysis care quality and safety.

Keywords

F698 dialysis care

CMS Appendix PP

nursing home dialysis requirements

dialysis staff training

infection control in dialysis

dialysis emergency management

QAPI dialysis oversight