Att G.6_Inst. for Completionof Denominators for Neonatal Intensive Care

Instructions for Completion of Denominators for Neonatal Intensive Care
Unit (NICU) (CDC 57.116)
Data Field
Facility ID #
Location code
Month
Year
Birthweight Categories

Number of patients (Pts)

Number of patients with a
central line (CL):

Instructions for Data Collection
The NHSN-assigned facility ID will be auto-entered by the computer.
Required. Enter the location code of the unit where you collect the data.
Required. Record the 2-digit month during which the data were
collected for this location.
Required. Record the 4-digit year during which the data were collected
for this location.
Required. The birthweight categories are as follows: A = ≤750 g; B =
751-1000 g; C = 1001-1500 g; D = 1501-2500 g; E = >2500 g. Data on
this form are stratified by this category.
Required. For each day of the month selected, record the number of
patients in each birthweight category on the unit. Record this number at
the same time each day.
Conditionally required. Complete if you have chosen central lineassociated bloodstream infection (CLABSI) as an event to follow in
your Plan for this month for this unit.
For each day of the month, at the same time each day, record the number
of patients in each birthweight category on the selected unit who have 1
or more central line(s). Central line days are counted beginning with the
date of insertion or the first day of access if the patient was admitted
with the central line and continuing until the line is physically removed
or the patient is discharged from the facility.

Number of patients on a
ventilator (VNT)

NOTES:
 Umbilical catheters are considered central lines.
 If a device has been pulled on the first day of the month in a
location where there are no other device days in that month, and
a device-associated infection develops after the device is pulled,
attribute the infection to the previous month.
Optional. This field can be completed even though NICU-VAP
surveillance cannot be included in your plan.
For each day of the month, at the same time each day, record the number
of patients in each birthweight category on the selected unit who are on
a ventilator.

January 2014

NOTE: If a device has been pulled on the first day of the month in a
location where there are no other device days in that month, and a
device-associated infection develops after the device is pulled, it is
recommended to attribute the infection to the previous month.
1

Data Field
Number of patients with an
indwelling urinary catheter
(UrC)

Total
Report No Events

Custom Fields

January 2014

Instructions for Data Collection
Optional. This field can be completed even though NICU CAUTI
surveillance cannot be included in your plan.
NOTE: If a device has been pulled on the first day of the month in a
location where there are no other device days in that month, and a
device-associated infection develops after the device is pulled, attribute
the infection to the previous month.
Required. Totals for each column should be calculated. This is the
number that will be entered into the NHSN application.
While not on the paper data collection form, when completing summary
data entry on-line, if no events included on your monthly reporting plan
are reported, you will be required to check the appropriate Report No
Events box(es), i.e., CLABSI. .
Optional. Up to 50 fields may be customized for local or group use in
any combination of the following formats: date (MMDDYYYY),
numeric, or alphanumeric.
NOTE: Each Custom Field must be set up in the Facility/Custom
Options section of NHSN before the field can be selected for use.

2

Instructions for Completion of Denominators for Specialty Care Area
(SCA)/Oncology (ONC) (CDC 57.117)
Data Field
Facility ID #
Location code
Month
Year
Number of patients
Number of patients
with 1 or more
central lines

Instructions for Data Collection
The NHSN-assigned facility ID will be auto-entered by the computer.
Required. Enter the location code of the unit where you collect the data.
Required. Record the 2-digit month during which the data were collected
for this location.
Required. Record the 4-digit year during which the data were collected
for this location.
Required. For each day of the month selected, record the number of
patients on the unit. Record this number at the same time each day.
Conditionally required. Complete if you have chosen central lineassociated bloodstream infection (CLABSI) as an event to follow in your
Plan for this month.

Temporary For each day of the month, at the same time each day, record the number
of patients on the selected unit who have 1 or more non-tunneled and
non-implanted central lines.
Permanent For each day of the month, at the same time each day, record the number
of patients on the selected unit who have 1 or more tunneled or
implanted central lines beginning on the first day the permanent line was
inserted or was accessed (if the patient was admitted with the central line
in place) and continuing until the line is physically removed or the
patient is discharged. “Access” is defined as line placement, infusion or
withdrawal through the line.

Number of patients
with a urinary
catheter

January 2015

NOTES:
 If a patient has both a temporary and a permanent line in place,
count only the temporary line.
 If a device has been pulled on the first day of the month in a
location where there are no other device days in that month, and a
device-associated infection develops after the device is pulled,
attribute the infection to the previous month.
Conditionally required. Complete if you have chosen catheter-associated
urinary tract infection (CAUTI) as an event to follow in your Plan for
this month.
For each day of the month, at the same time each day, record the number
of patients on the selected unit who have an indwelling urinary catheter.
3

Data Field

Number of patients
on a ventilator

Instructions for Data Collection
NOTE: If a device has been pulled on the first day of the month in a
location where there are no other device days in that month, and a
device-associated infection develops after the device is pulled, attribute
the infection to the previous month.
Conditionally required. Complete if you have chosen ventilatorassociated event (VAE—for adults) or pediatric ventilator-associated
pneumonia (PedVAP) as an event to follow in your Plan for this month.
NOTE: There are two sub-columns within this data field: one for “Total
Patients” and one for “Number on APRV.”

Total
Report No Events

January 2015

“Total Patients”: For each day of the month, at the same time each day,
record the total number of patients on the selected unit who are on a
ventilator.
“Number on APRV”: This field should only be completed if you have
chosen VAE as an event to follow in your Plan for this month. For each
day of the month, at the same time each day (and at the same time that
“Total Patients” is assessed), record the number of patients on the
selected unit, among the total number of patients on that unit who are on
a ventilator, who are on Airway Pressure Release Ventilation (APRV) or
a related mode of mechanical ventilation (e.g., BiLevel, Bi Vent, BiPhasic,
PCV+, DuoPAP).
“Number of Episodes of Mechanical Ventilation (EMV)”: This field is an
optional field if you have chosen VAE as an event to follow in your Plan for
this month. Counts are made one day in arrears. Beginning on the second
day of the month count the number of EMV for the previous calendar day
(first day of the month).
NOTE: An episode of mechanical ventilation is defined by the number of
consecutive days during which the patient was mechanically ventilated. A
period of at least 1calendar day off the ventilator, followed by reintubation
or re-initiation of mechanical ventilation, defines a new episode of
mechanical ventilation.
NOTE: If a device has been pulled on the first day of the month in a
location where there are no other device days in that month, and a
device-associated infection develops after the device is pulled, attribute
the infection to the previous month.
Required. Totals for each column should be calculated. This is the
number that will be entered into the NHSN application.
While not on the paper data collection form, when completing summary
data entry on-line, if no events included on your monthly reporting plan
are reported, you will be required to check the appropriate Report No
Events box(es), i.e., CLABSI, CAUTI, VAE, PedVAP.
4

Data Field
Custom Fields

Instructions for Data Collection
Optional. Up to 50 fields may be customized for local or group use in
any combination of the following formats: date (MMDDYYYY),
numeric, or alphanumeric.
NOTE: Each Custom Field must be set up in the Facility/Custom
Options section of NHSN before the field can be selected for use.

January 2015

5

Instructions for Completion of Denominators for Specialty Care Area
(SCA)/Oncology (ONC) (CDC 57.117)
Data Field
Facility ID #
Location code
Month
Year
Number of patients
Number of patients
with 1 or more
central lines

Instructions for Data Collection
The NHSN-assigned facility ID will be auto-entered by the computer.
Required. Enter the location code of the unit where you collect the data.
Required. Record the 2-digit month during which the data were collected
for this location.
Required. Record the 4-digit year during which the data were collected
for this location.
Required. For each day of the month selected, record the number of
patients on the unit. Record this number at the same time each day.
Conditionally required. Complete if you have chosen central lineassociated bloodstream infection (CLABSI) as an event to follow in your
Plan for this month.

Temporary For each day of the month, at the same time each day, record the number
of patients on the selected unit who have 1 or more non-tunneled and
non-implanted central lines.
Permanent For each day of the month, at the same time each day, record the number
of patients on the selected unit who have 1 or more tunneled or
implanted central lines beginning on the first day the permanent line was
inserted or was accessed (if the patient was admitted with the central line
in place) and continuing until the line is physically removed or the
patient is discharged. “Access” is defined as line placement, infusion or
withdrawal through the line.

Number of patients
with a urinary
catheter

January 2015

NOTES:
 If a patient has both a temporary and a permanent line in place,
count only the temporary line.
 If a device has been pulled on the first day of the month in a
location where there are no other device days in that month, and a
device-associated infection develops after the device is pulled,
attribute the infection to the previous month.
Conditionally required. Complete if you have chosen catheter-associated
urinary tract infection (CAUTI) as an event to follow in your Plan for
this month.
For each day of the month, at the same time each day, record the number
of patients on the selected unit who have an indwelling urinary catheter.
6

Data Field

Number of patients
on a ventilator

Instructions for Data Collection
NOTE: If a device has been pulled on the first day of the month in a
location where there are no other device days in that month, and a
device-associated infection develops after the device is pulled, attribute
the infection to the previous month.
Conditionally required. Complete if you have chosen ventilatorassociated event (VAE—for adults) or pediatric ventilator-associated
pneumonia (PedVAP) as an event to follow in your Plan for this month.
NOTE: There are two sub-columns within this data field: one for “Total
Patients” and one for “Number on APRV.”

Total
Report No Events

January 2015

“Total Patients”: For each day of the month, at the same time each day,
record the total number of patients on the selected unit who are on a
ventilator.
“Number on APRV”: This field should only be completed if you have
chosen VAE as an event to follow in your Plan for this month. For each
day of the month, at the same time each day (and at the same time that
“Total Patients” is assessed), record the number of patients on the
selected unit, among the total number of patients on that unit who are on
a ventilator, who are on Airway Pressure Release Ventilation (APRV) or
a related mode of mechanical ventilation (e.g., BiLevel, Bi Vent, BiPhasic,
PCV+, DuoPAP).
“Number of Episodes of Mechanical Ventilation (EMV)”: This field is an
optional field if you have chosen VAE as an event to follow in your Plan for
this month. Counts are made one day in arrears. Beginning on the second
day of the month count the number of EMV for the previous calendar day
(first day of the month).
NOTE: An episode of mechanical ventilation is defined by the number of
consecutive days during which the patient was mechanically ventilated. A
period of at least 1calendar day off the ventilator, followed by reintubation
or re-initiation of mechanical ventilation, defines a new episode of
mechanical ventilation.
NOTE: If a device has been pulled on the first day of the month in a
location where there are no other device days in that month, and a
device-associated infection develops after the device is pulled, attribute
the infection to the previous month.
Required. Totals for each column should be calculated. This is the
number that will be entered into the NHSN application.
While not on the paper data collection form, when completing summary
data entry on-line, if no events included on your monthly reporting plan
are reported, you will be required to check the appropriate Report No
Events box(es), i.e., CLABSI, CAUTI, VAE, PedVAP.
7

Data Field
Custom Fields

Instructions for Data Collection
Optional. Up to 50 fields may be customized for local or group use in
any combination of the following formats: date (MMDDYYYY),
numeric, or alphanumeric.
NOTE: Each Custom Field must be set up in the Facility/Custom
Options section of NHSN before the field can be selected for use.

January 2015

8