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.

NKR to Cover Lost Wages for Kidney Donors

The National Kidney Registry (NKR) has extended lost wage coverage and other features of the Donor Care Network’s (DCN) Donor Shield program to all kidney donors enrolled in the Registry.  The NKR and DCN are private foundations started in 2007 by the parents of a child whose kidneys failed, after their difficulty finding a donor whose blood type and other genetic factors (human leukocyte antigens or HLA) matched enough to reduce the rate of organ rejection.  NKR has since developed an impressive list of innovations that have greatly facilitated reciprocal swaps and chains to match the HLA of donors and recipients:

  • Faster and cheaper shipping of donated kidneys
  • Improvements to HLA coding that have reduced match failures from 50% to 5%
  • Universal financial agreement to end financial incompatibility between transplant centers
  • GPS tracking of organs in transit
  • Registered donor pre-screening and development of computable matching algorithms
  • Cryo-preservation of donor blood to reduce repeated blood draws
  • Advance donation when intended recipients don’t need a transplant yet
  • Insurance and other support for registered donors
  • Remote donation so donors don’t have to travel to donate
  • Several other innovations that are too complicated to summarize in one line

DCN’s programs include broad Donor Shield insurance coverage, fast online pre-screening of potential donors, workup and post-op recovery at DCN centers located close to the donor to reduce donor travel, and donor feedback systems to facilitate process improvement.  They are also piloting lifetime post-op insurance coverage for donors.  There are fourteen DCN donations centers spread across the US, including one in Seattle and two in Southern California.

For details on the Donor Shield extension, see https://www.healio.com/nephrology/kidney-care-community/news/online/%7b517d83ee-4a44-4af9-9a5c-7085daf0cdcc%7d/national-kidney-registry-will-reimburse-donors-for-lost-wages.  Find more information on NKR at https://www.kidneyregistry.org/ and on DCN at https://www.donorcarenet.org/programs/.

NW16 9/19 Network 16 Quality Conference

The agenda has been published for the September 19, 2019 Comagine ESRD Network 16 Annual Quality Conference in Des Moines WA.  Find the agenda, other details, and register at https://s3-us-west-2.amazonaws.com/nwrn.org/files/NW16+2019+Quality+Agenda+-+FINAL.pdf.  Topics will include care transitions, the patient’s perspective, staff concerns, transplants, infection control, Network update, and awards.  Facility Managers and Administrators, nurses, social workers, dietitians, technicians, Medical Directors, and other ESRD facility staff are invited, to earn six continuing education credits.