Infection Control Communication Form for Interaction between Long-Term Care and Dialysis Facilities

HHSC is sharing a communication tool that can be used to enhance communications between Long-term Care (LTC) providers and dialysis facilities.

LTC providers are expected to communicate with dialysis facilities regarding changes in patient status. The National Forum of ESRD Networks developed a communication form that is part of a highly effective practice that can be used to facilitate communication between a residential facility and a dialysis facility, documenting patient status and facility status.

Using a communication form strengthens communication between residential facilities and dialysis facilities, may improve patient care and diminish the risk of the spread of infection.

LTCF-Dialysis Infection Control Communication Form