ASN will present an April 2, 2020 webinar on Hospital Care and Treatment Options for COVID-19 Positive Patients with ESKD and AKI that will address key areas of concern in the management of COVID-19 positive patients receiving RRT in the hospital setting, including treatment options, staffing, and safety. Register at https://register.gotowebinar.com/register/4478274981960155148.
There’s no link yet, but ASN has also promised an April 9 webinar on Considerations in the Home Dialysis Setting.
Recordings of the two previous ASN COVID-19 webinars are available at:
In a new Safe Healthcare blog post at https://blogs.cdc.gov/safehealthcare/sepsis-awareness-month-why-each-person-matters/, CDC’s Dr. Denise Cardo highlights efforts to protect patients from #SEPSIS and how CDC’s partners in healthcare have impacted this work. Dr. Cardo also includes many links to useful resources for combatting sepsis. Join the conversation on Twitter or on the Safe Healthcare blog itself, and spread the word. It could save a life. #SAM2019
A recent study published in the American Diabetes Association’s (ADA) journal Diabetes Care (http://care.diabetesjournals.org/content/early/2019/05/28/dc19-0296) using 2000-2015 USRDS data has shown that the rates of nontraumatic lower-extremity amputation (NLEA) among adults with ESRD and diabetes fell 44% between 2000 and 2013 from 7.5 to 4.2 NLEA per 100 person-years, while NLEA among ESRD patients without diabetes declined 31% over the same period, from 1.6 to 1.1 per 100 person-years. Both reductions were highly statistically significant. However, both rates flat-lined after 2013.
In mid-June 2019 a series of presentations on Infection Control, offering free CME/CE credits to physicians, nurses, and pharmacists, will expire. CDC and Medscape produced them in 2017 with the intention that they’d be valid for two years. The six presentations include Risk Recognition, Environmental Services, Medical Equipment, Nonsterile Gloves, Hierarchy of Controls, and Injection Safety. Find them at https://www.cdc.gov/infectioncontrol/training/cme-info.html.
A new Harvard Business Review article on “The Value of Teaching Patients to Administer Their Own Care” includes an example of a self-care dialysis program at the Central Texas Nephrology Associates clinic in Waco, Texas. Some excerpts:
“In 2016, nearly 40% of CTNA’s 751 patients performed their own dialysis while experiencing fewer hospitalizations and a lower mortality rate than patients receiving dialysis the conventional way. Patients delivering their own dialysis experienced better outcomes and the health system minimized costs by avoiding unnecessary hospital visits.”
The “Providers’ role changed from performing every step of the process to serving as coaches and supporters of patients doing their own care. The resulting redeployment of staff resources led to higher productivity and throughput for the clinic.”
“Regardless of the setting, a successful approach to patient-administered self-care requires the following:
“Patients or caregivers must be prepared and willing… Care organizations need to develop a standard process for training patients… Practitioners must be trained to support patient-administered care, …to see themselves as coaches and the patient as an integral partner, …[to] recognize that patients’ capabilities to provide their own care may differ and evolve over time, and …to connect with the patient…
“A standard protocol should be developed [including] …methods for distributing equipment, supplies, and medication …how patients and providers should respond to adverse events …easy access to outpatient and inpatient services to address any needs that arise.
“A care organization that has [an outcome]-based-payment system will have a much easier time adopting the self-care model …Patient-administered care realizes savings by avoiding spending in the first place; in a fee-for-service model, this is lost revenue.”