This report is to be completed each month during the LTC Project.

Note that the easiest way to accurately complete this report is by using the Network-developed "LTC Monthly Reporting Tool". This tool was reviewed during the Introduction Webinar and is available on our LTC webpage under the "Project Material" section here http://www.esrdnetwork.org/long-term-catheter-ltc

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* 2. Please check the month you are submitting the Long-Term Catheter (LTC) data for (Please select only one each month).

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* 3. Please enter the Total Any Access Count  for your facility. Only enter a numerical value (Example: "40" or "125").

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* 4. Please enter the Number of AVF Only patients for your facility. Only enter a numerical value (Example: "70").

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* 5. Please enter the Number of AVG Only patients for your facility. Only enter a numerical value (Example: "70").

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* 6. Please enter the Number of CVC <90 days in use for your facility. Only enter a numerical value (Example: "20").

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* 7. Please enter the Number of CVC >90 days in use for your facility. Only enter a numerical value (Example: "20").

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* 8. Please enter the total number of ACTIVE Facility Patient Representatives (FPRs) or Patient Subject Matter Experts (SMEs) you currently have in your facility? This number may change from month to month. Ideally, facilities should have at least one FPR per shift.

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