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.

CDC Sepsis Prevention in Spanish

GaneleCDC has announced that its free Get Ahead of Sepsis fact sheets and brochures for patients and families are now available for download in Spanish.

Sepsis is a medical emergency.  Do you know how to protect yourself, your family, and your patients from sepsis?  CDC’s new Spanish-language materials help patients and families learn the risks, spot the signs and symptoms, and act quickly if they suspect sepsis.  Start a conversation today about how to Get Ahead of Sepsis.  To learn more about sepsis and how to prevent infections, see https://www.cdc.gov/sepsis/get-ahead-of-sepsis/sp/index.html. The English versions are at https://www.cdc.gov/sepsis/get-ahead-of-sepsis/patient-resources.html.

<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.

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.

PATH-D Home Care Partner Guide

MEI has released a Spanish edition of their Partner Agreement on Tasks for Home Dialysis (PATH-D), or Acuerdo del Compañero sobre tareas para la Diálisis en el hogar.  Find it, for either PD or HHD, along with other useful home care resources, at https://www.homedialysis.org/life-at-home/care-partners.

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.