Transitional Care for Urgent Starts in Dialysis

Home Dialysis Central has published a blog post on Traditional Dialysis vs. Transitional Care for Urgent Starts.  Transitional Care for Urgent Starts (TCU) provides a gentler and more supportive introduction to dialysis for people whose kidneys fail with little warning, helping them get past the shock of a “sudden” change of just about everything in their life, and helping them make informed decisions about treatment modality.  Of course kidneys don’t fail suddenly, but sometimes it seems that way to the person whose kidneys have failed.  Find the post at https://homedialysis.org/news-and-research/blog/330-traditional-dialysis-vs-transitional-care-for-urgent-starts.

Transplant CoP Changes

Modifications to the Conditions of Participation for kidney transplant programs (formerly transplant centers) have been published in the Federal Register for September 30, 2019.  They will take effect on November 29, 2019.  The primary change is that an approved transplant program will no longer be required to submit outcome data for periodic re-approval.  The modifications are summarized by the American Society of Transplant Surgeons at https://asts.org/news-and-publications/asts-news/article/2019/09/27/cms-removes-outcomes-requirement-for-transplant-center-re-approval, and detailed in the Federal Register at https://www.govinfo.gov/content/pkg/FR-2019-09-30/pdf/2019-20736.pdf, pp.51748-50.

RSN Podcast on Pets and Transplant Safety

The Renal Support Network has added to their website a KidneyTalk audio presentation on Pets and Kidney Transplant Safety.  Find it, along with their long list of prior podcasts, at https://www.rsnhope.org/kidneytalk/pets-kidney-transplant-safety/.  Recent prior audios include Active Living/Travel, Are You at Risk – Just Diagnosed, and Emotion and Communication.

Scarcity of Deceased Donor Kidneys by Area

Kidney International Reports has estimated that between 2015 and 2018, there were 12 to 17 patients added to the kidney transplant waitlist for every ten deceased donor kidneys that became available in Network 16, and in Network 18 between 17 and 48 newly waitlisted patients for every ten newly available kidneys.  The greatest scarcity of kidneys (26-48 candidates per ten available kidneys) occurred in San Luis Obispo, King, Tulare, and Inyo Counties of California.  Areas with more newly available deceased donor kidneys than waitlist additions (10-18 new kidneys per ten new candidates) included Nevada, northwestern Arizona, Oklahoma, northwestern Ohio, eastern upstate New York, western Vermont, and east-central Florida.  For details see https://www.kireports.org/article/S2468-0249(19)31474-3/fulltext.

NW16 9/12 Quality Conference Early Registration

Late fees take effect on September 12 for the 2019 Comagine ESRD Network 16 Annual Quality Conference, to be held September 19, 2019 in Des Moines WA.  Among other issues of interest, the Conference will include a session, led by a patient who dialyzes at home, on the importance of patient engagement, dialysis without pain, and teaching how to operate a home dialysis machine.  Other topics include Care Transitions, Staff Concerns, Best Practices, Patient Perspective, Transplant, and Patient Safety.  Six continuing education credits will be available to all facility staff.  Register for the conference at http://events.r20.constantcontact.com/register/event?oeidk=a07egbnc44f63d9624a&llr=hak kwkrab, and find full details at https://s3-us-west-2.amazonaws.com/nwrn.org/files/NW16+Quality+Agenda+-+FINAL+8.16.19.pdf.

NW16 9/19 Quality Conference

The September 19, 2019 Comagine ESRD Network 16 Annual Quality Conference will be held in Des Moines WA. Topics include Care Transitions, Staff Concerns, Best Practices, Patient Perspective, Transplant, and Patient Safety.

The session on Staff Concerns, for instance, will be led by a psychiatric mental health nurse experienced at speaking on burnout prevention, resilience, patient/family experience, and effective management.  She’ll be talking about empowering staff to seek joy and satisfaction, personal triggers and coping, and effective leader-staff relationships.

Six continuing education credits will be available to all facility staff.  Register for the conference at http://events.r20.constantcontact.com/register/event?oeidk=a07egbnc44f63d9624a&llr=hak kwkrab, and find full details at https://s3-us-west-2.amazonaws.com/nwrn.org/files/NW16+Quality+Agenda+-+FINAL+8.16.19.pdf.

NW16 9/19 2019 Quality Conference

The 2019 Comagine ESRD Network 16 Annual Quality Conference will be held September 19, 2019 in Des Moines WA.  Six continuing education credits will be available to all facility staff.  One of the presentations, on patient safety and infection prevention, will be led by a nurse from the CDC who specializes in antibiotic resistance.  In addition to best practices and tools, methods for assessing your own infection prevention practices for possible improvements will also be included.  Register for the conference at http://events.r20.constantcontact.com/register/event?oeidk=a07egbnc44f63d9624a&llr=hak kwkrab, and find more information at https://s3-us-west-2.amazonaws.com/nwrn.org/files/NW16+Quality+Agenda+-+FINAL+08142019.pdf.