HD Unit auditing & accreditation


Policies
Nursing & therapeutic protocols
Emergency & Incident Policy
Mortality & Mortality Review Meeting
Recruitment and disciplinary policy/procedures
Facilities & equipment maintenance policy
Complaints recording and response policy
Continuing staff training policy


Administration
Internal operating regulations
Risk assessment policy
Root cause analysis policy
Institutionalized performance review (audit)
Patient transparency and information policy
Mortality & mortality
Incidents & complications
Patient opinions
Patient transport


Record keeping & archiving
Archiving policy
Electronic patient record
Up-to-dateness & completeness of files, treatment records, etc. files
Validity of records
Event & complication record
GDPR Policy
Facility & equipment maintenance record


Treatment quality
Dialysis parameters
Prescribing and administering medications during the session and at home
Deviations from prescribed treatment
Protocols for prevention & treatment of complications
Vascular access policy
Cardiological patient support
Dietary & psychological support for patients


Equipment & materials
Equipment & materials certification
Equipment age & renewal policy
Facilities & equipment maintenance policy
Equipment & materials storage
Operation of individual dialysis patient card
Possibility of fistula control with doppler on site
Possibility of gas/laboratory control on site
Water tank volume


Visiting patients management
Seat availability
Reservation and Fee Policy
Referral process
Checking for contagious diseases of visitors
File transfer policy
Incident and emergency response policy
Spoken foreign languages
Publications in foreign languages


Safety regulations
Fire protection regulation
Personnel training in fire protection
Building evacuation & patient transport regulations
Staff training in building evacuation
Earthquake-resistant building specifications
Security Officer Training
Security/guarding systems and services
Controlled access to facilities
Employee identification mechanisms
Event log
Patient insurance


Performance
Mortality & mortality
Incidents & complications
Vascular accesses
Patient opinions/complaints
Patient transport policy
Updating of the YSE/Register of Private Units (MIM)
Ranking order in MIM
Patients on the transplant list/ Activation time


Hygiene conditions
& infection control
Hygiene conditions of premises & facilities
Cleanliness/hygiene policy
Healthy food and drinking water
Microbiological/biochemical water testing policy/specifications
Staff training in antiseptic principles
Policy for monitoring, recording, controlling and treating communicable diseases (hepatitis, HIV, Staph, COVID)
Vaccination of patients and staff
Prevalence/recording of catheter-related infections
Infection control manager


Environmental responsibility
Energy saving policy
Use of renewable energy sources
Water saving policy
Biological fluid management policy
Policy on management of infectious waste etc.
Dirty laundry storage policy


Staff management policy
Staffing schedule and staff/patient ratio policy
Work of certified Pathologists/Cardiologists & adherence to procedure
Recruitment policy for permanent and temporary staff
Leave and bonus policy
Medical liability insurance
Delays in payment of staff salaries
History of disputes and legal disputes with personnel
Staff policy and rest area
Continuing staff training policy
Staff Professional Development Certificate


Evaluation of employment contracts
Adoption of a standard ENIN contract
Adoption of positive list conditions ENIN
Deleting negative list terms ENIN