Polaris Transitional Care

policy Dialysis (Renal), Pre- and Post-Care, last revised 3/2025, revealed: .It is the policy of this

swelling, or bleeding.

Post dialysis AV shunt access care as ordered.

Any problems with a resident's

or a non-functioning graft requires medical attention.

Documentation related to pre- and post-dialysis care will be placed in the clinical record and include.

Resident assessments, interventions.Failure to Monitor, Evaluate, and Communicate Complications Related to the Resident's Vascular AccessReview of the facility policy Renal Dialysis, Care of Resident, Hemodialysis Access Site, Diet/Fluid Restrictions, Care Plan, last revised 11/2019, revealed requirements to monitor for signs of complications and call the physician immediately for bleeding.

During an interview on 3/26/26 at 12:45 PM, the Administrator explained that the facility followed standard processes supported by training and order sets.

She stated that staff received, in-services that we do.annually with the staff.Record review from 3/25-26/26 of Resident #11's medical record did not reveal any notifications to Resident #11's physician about the post-dialysis bleeding AV fistula on 1/29/26.Review of Centers for Disease Control and Prevention (CDC) dialysis safety guidelines on the Best Practices . in Dialysis Settings online page (www.cdc.gov/dialysis-safety/hcp/clinical-safety/index.html) shows that facilities are expected to assess staff adherence to aseptic technique . during dressing changes and to conduct ongoing observations of vascular access care and catheter accessing, Standards of care require reassessment of the access site after removal for bleeding, redness, or swelling, with accurate documentation and timely communication of findings.