HDC Fluid Restriction Calculator

Home Dialysis Central has published a Dialysis Fluid Restriction Calculator to answer the question, “How much can I drink between dialysis sessions?” individualized for each patient.  For the Calculator and discussion, see https://homedialysis.org/news-and-research/blog/265-a-new-dialysis-fluid-restriction-calculator.

<7/31 AAKP Patient Safety Award

Applications are open until July 31, 2018 for the AAKP Jenny Kitsen Patient Safety Award to fund an annual lecture, presentation or program that will advance patient safety by exploring innovation in health systems management.  The award was created in 2014 when the former non-profit Network of New England board of directors established an endowment to continue the patient safety work led by former executive director Jenny Kitsen.  For more information and application, see http://aakp.org/jenny-kitsen-safety-award/.

CDC HAN on Coagulopathy

CDC has published a Health Alert Network advisory on vitamin K-dependent antagonist coagulopathy caused by synthetic cannabinoids apparently contaminated with the rodenticide brodifacoum.  While CDC does not report any cases from the West Coast, they advise proceduralists who deal with blood, and others, to be aware of the possibility.  The HAN includes:

  • Recommendations for clinicians, including notifying health authorities, especially in cases where a synthetic cannabinoid user has recently donated blood
  • Recommendations for public health officials, including notifying CDC
  • Recommendations for the general public, including avoiding synthetic cannabinoids

For details see https://emergency.cdc.gov/han/han00410.asp.

There is no suggestion that natural, non-synthetic cannabinoids are similarly contaminated; these are regulated and legal by state law in all of Networks 16 and 18 except Idaho, and increasingly used for medical purposes.  There is also no suggestion that natural, non-synthetic, non-psychoactive CBD oil made from industrial hemp, which is available throughout the US, is similarly contaminated; however, outside of the regulated marketplace, industrial-hemp CBD oil is unregulated, so the potential for contamination of some kind is always present.

5/2 Grievance Toolkit Webinar

The National Forum of ESRD Networks will present a May 2, 2018 webinar for dialysis facility staff on The Grievance Toolkit: Fostering Communication and Improving Quality.  Continuing education credit will be available for nurses, technicians, and social workers.  Find more information and register at https://register.gotowebinar.com/register/417211176479162113.  Find copies of the Toolkit in English and Spanish at http://esrdnetworks.org/resources/toolkits/patient-toolkits/dialysis-patient-grievance-toolkit-1.

Fraud Prevention Resources

CMS has published information about helping patients avoid fraud and scams, which may be particularly important with the release of the New Medicare Cards.

Medicare will never call beneficiaries uninvited and ask for personal or private information to get their new Medicare Number and card.  Scam artists may try to get personal information (like their current Medicare Number) by contacting them about their new card.  If your Medicare patient is asked for their information, for money, or someone threatens to cancel their health benefits if they don’t share their personal information, have them call 1-800-MEDICARE (1-800-633-4227).

The new Medicare Number is also called the Medicare Beneficiary Identifier (MBI) and is replacing the current Social Security-based Health Insurance Claim Number (HICN) on Medicare health insurance cards.  Medicare will continue to accept the HICN through the transition period; see https://www.cms.gov/Medicare/New-Medicare-Card/index.html#target.  Identity theft resources for people with Medicare can be found at https://www.medicare.gov/forms-help-and-resources/identity-theft/identity-theft.html.

3/16 ANA/CDC Online Webinar

CDC and the ANA will present a free one-hour March 16, 2018 webinar on Empowering Nurses to Protect Themselves and Their Patients: Disaster Preparedness Through the Seasons.  Continuing education credit is included.  The session is billed as “Disaster Preparedness means you’ll be ready whether it’s an infectious disease outbreak or a natural disaster” and topics include slowing down the spread of flu, identifying when mold remediation is needed, and other safety strategies.  Find more information and register at https://cc.readytalk.com/registration/#/?meeting=27vwu3bmj32c&campaign=93rso6jbhnai.

Recordings of previous webinars in the CDC/ANA Safe Healthcare series can be found at https://www.cdc.gov/infectioncontrol/training/safe-healthcare-webinars.html.

3/8 Mindfulness & Patient Safety WIHI

IHI will present a March 8, 2018 “WIHI” on Mindfulness and Patient Safety.  When we’re “mindful” we’re paying attention to what’s happening in the Present Moment instead of reviewing the past or planning the future.  Mindfulness is also a powerful stress reduction and self-care technique.  Find more information, sample exercises, and relevant links, and register, at http://www.ihi.org/education/AudioVideo/WIHI/mindfulness-and-patient-safety/Pages/default.aspx.  Find ten introductory exercises at http://www.ihi.org/communities/blogs/10-mindfulness-exercises-for-the-health-care-workplace.