Dialysis Prevention Process Measures (PPM)
Protocols
Data Collection Forms & Instructions
Audit Tools
- Hemodialysis Catheter Connection & Disconnection Observations pdf icon[PDF – 200 KB]
- Hemodialysis Catheter Exit Site Care Observations pdf icon[PDF – 260 KB]
- Arteriovenous Fistula & Graft Cannulation and Decannulation Observations pdf icon[PDF – 400 KB]
- Hemodialysis Hand Hygiene Observations pdf icon[PDF – 150 KB]
- Dialysis Station Routine Disinfection Observations pdf icon[PDF – 280 KB]
- Injection Safety Medication Preparation & Administration Observations pdf icon[PDF – 280 KB]
All Data Collection Forms are Print-only
Survey
Monthly Reporting Plan
Summary Form
PPM Training
Dialysis Safety
Supporting Materials
- WHO 5 Moments for Hand Hygiene in Hemodialysis poster pdf icon[PDF – 890 KB]external icon
- CDC Hand Hygiene in Healthcare Settings Resources
- Prevention Process Measures Percent Adherence Report pdf icon[PDF – 300 KB]
- Other Dialysis Prevention Process Measure Tools
- Hemodialysis Injection Safety: Medication Preparation & Administration Observations pdf icon[PDF – 370 KB]
Resources to Help Prevent HAIs
Page last reviewed: January 13, 2022
