Beginning April 1, 2020, the Coalition for Supportive Care of Kidney Patients will hold a weekly half-hour Open Discussion for Professional Providers of Supportive Care for Kidney Patients with COVID-19. If you have concerns about how to address the supportive care needs of kidney disease patients who have COVID-19, join members of the Coalition’s Executive Committee (Alvin Moss, MD; Dale Lupu, MPH, PhD; Elizabeth Anderson, LCSW, DSW; Glenda Harbert, RN, CPHQ, CNN) weekly for Open Discussion. All professional providers of supportive care of kidney patients are welcome. It is hard to know what we will all need the coming weeks. Attendance is free. If you feel stuck, have questions, or want to connect with colleagues, join the Discussion any Wednesday at 11:30 am Pacific Time, at https://zoom.us/j/376000936. For more information, see http://go.gwu.edu/opendiscussion.
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:
- COVID-19 Information for Providers of Dialysis Services (March 11, 2020), https://www.asn-online.org/ntds/resources/Webcast_2020_03_11_COVID-19.mp4.
- CDC Recommendations and Policy Updates for Current Challenges in the Dialysis Setting (March 26, 2020), https://www.asn-online.org/ntds/resources/Webcast_2020_03_26_COVID-19.mp4.
CMS has issued a press release titled Trump Administration Makes Sweeping Regulatory Changes to Help U.S. Healthcare System Address COVID-19 Patient Surge that introduces and summarizes actions to increase hospital capacity, rapidly expand the healthcare workforce, put patients over paperwork, and further promote telehealth in Medicare. To locate these resources, see:
- The full press release, at https://www.cms.gov/newsroom/press-releases/trump-administration-makes-sweeping-regulatory-changes-help-us-healthcare-system-address-covid-19.
- Details on COVID-19 waivers and guidance, on the CMS Coronavirus Waivers and Flexibilities web page at https://www.cms.gov/about-cms/emergency-preparedness-response-operations/current-emergencies/coronavirus-waivers.
- A summary of ESRD-specific waivers and flexibilities, at https://www.cms.gov/files/document/covid-19-esrd-facilities.pdf.
CDC has released a new HAN Health Alert Advisory on Severe Illness Associated with Using Non-Pharmaceutical Chloroquine Phosphate to Prevent and Treat COVID-19. The Summary includes “Chloroquine phosphate, when used without a prescription and supervision of a healthcare provider, can cause serious health consequences, including death. Clinicians and public health officials should discourage the public from misusing non-pharmaceutical chloroquine phosphate (a chemical used in home aquariums). Clinicians should advise patients and the public that chloroquine, and the related compound hydroxychloroquine, should be used only under the supervision of a healthcare provider as prescribed medications.” Find the CDC HAN at https://emergency.cdc.gov/han/2020/han00431.asp?deliveryName=USCDC_511-DM24285.
ASN will present a March 26, 2020 webinar on COVID-19: CDC Recommendations and Policy Updates for Current Challenges in the Dialysis Setting. Topics will include personal protective equipment, discontinuation of isolation, variation in interpretation by states and potential lack of uniform application of CDC recommendations, patient transportation challenges, telemedicine waivers, and QIP waivers. Find more information and register at https://register.gotowebinar.com/register/6032221362410158859.
You can find a recording of ASN’s March 11, 2020 webinar on COVID-19 Information for Providers of Dialysis Services at https://www.asn-online.org/ntds/resources/Webcast_2020_03_11_COVID-19.mp4.
Home Dialysis Central has added a very thorough post to their blog on How to Support Home Dialysis Patients During a Pandemic. Find it at https://www.homedialysis.org/news-and-research/blog/351-how-to-support-home-dialysis-patients-during-a-pandemic.
CDC has released a number of new Guidance protocols today on:
- Return to Work Criteria for Health Care Personnel with Confirmed or Suspected COVID-19, at https://www.cdc.gov/coronavirus/2019-ncov/healthcare-facilities/hcp-return-work.html, including sections on Return to Work Practices and Work Restrictions, and Crisis Strategies to Mitigate Staffing Shortages.
- Strategies to Optimize Personal Protective Equipment Supply, at https://www.cdc.gov/coronavirus/2019-ncov/hcp/ppe-strategy/index.html, including sections on eye protection, isolation gowns, facemasks, and N95 respirators.
- Disposition of Non-Hospitalized Patients with COVID-19, at https://www.cdc.gov/coronavirus/2019-ncov/hcp/disposition-in-home-patients.html, which provides various protocols for allowing patients to discontinue home isolation.