Incomplete Documentation of Dialysis Site Assessment
Penalty
Summary
The facility failed to ensure complete communication and coordination with the dialysis center regarding the assessment of a resident's dialysis access site. During review of the resident's Hemodialysis Communication Observation/Assessment forms for multiple dates, it was found that the post-dialysis treatment sections were left blank. An LVN confirmed that if the dialysis center does not complete the form, the facility typically calls the center to obtain the necessary post-dialysis information. The facility's policy requires staff to be trained in the care of residents with end-stage renal disease and to gather specific assessment data about the resident's condition on a daily or per shift basis. However, there was no documented assessment of the dialysis site for the resident on the reviewed dates.