Update of Kidney School Nutrition/Fluids Module

MEI has updated the most popular module, Module 9: Nutrition and Fluids for People on Dialysis, in it’s award-winning Kidney School.  The new Module 9 has been completely updated with new information about the value of eating real food, phosphorus absorption from food additives vs. meat and plants, graphics and photos, and brand-new meal plans and recipes, and was reviewed by expert renal dietitians.  A Spanish translation will be available soon.

Kidney School offers free, tailored education for people with stages 4-5 CKD.  Sixteen interactive modules at the 6th grade reading level help patients and family members learn about kidney disease, treatment options, coping skills, lab tests, diet and nutrition, and much more.  Each online module creates a Personal Action Plan.  Audio files and PDFs in English and Spanish are also available.  Continuing education credits are available for professionals.

Find Kidney School at https://www.kidneyschool.org/, and the new Module 9: Nutrition and Fluids for People on Dialysis at https://www.kidneyschool.org/m09/.

Toxic Waters

Now that high summer and higher temperatures have arrived, Harmful Algae Blooms (“HABs”) are an increasing threat to recreational and subsistence uses of bodies of fresh- and salt-water.  HABs can impact, sometimes fatally, harvesting of water- and shoreline-dwelling animals and plants, drinking, swimming, wading, and boating.  Pets and children are particularly vulnerable because they can rush into water before you even realize they’re out of the car.  The Oregon Health Authority advises,

“Don’t go into water that looks foamy, scummy, thick like paint, pea-green, blue-green or brownish red.  A good rule of thumb for you and your pet is: When in Doubt, Stay Out!”  (https://www.oregon.gov/OHA/PH/HealthyEnvironments/Recreation/HarmfulAlgaeBlooms/pages/index.aspx).

Bear in mind that most waters are not monitored for toxicity, so the lack of a warning sign is not enough to assure safe use.  The following websites provide information on identifying and responding to toxic waters and their impacts, and include alerts on the few, most popular, waters that are monitored and posted:

The Washington website is also available in Spanish, Somali, and Viet.  As an example of a posted warning, Odell Lake near Willamette Pass, between Eugene and Klamath Falls OR, has recently been posted; see the Oregon website above.

Summer Provider Newsletters

Network Provider Newsletters for Summer 2020 have been published.  They include articles on:

  • Network Support for COVID-19.
  • The ESRD QIP.
  • New QIP website interface.
  • Staff Burnout.
  • Patient Psychosocial Needs.
  • NCC “Web Hub” for Patients (Network 16 only).
  • Seeking Volunteers for Spanish-Speaking PAC (Network 18 only).
  • Data Currency in CROWNWeb.
  • Links to Network Patient Newsletters.
  • Patient Emergency Preparedness.
  • Interruptions in Service.
  • KCER Newsletter.
  • Staff Changes.
  • Link to Events Calendar (Network 18 only).
  • Network email Updates.

Find them at:

Network Guidance on COVID-19 Stress for Staff

Networks 16 and 18 have assembled a web page on Healthcare Workers – Coping with Infectious Disease Outbreaks in the Dialysis Setting.  In addition to guidance for maintaining your own health in situations of extreme stress, it includes links to the SAMHSA Disaster Distress Helpline (in English, Spanish, and 14 other languages) and their document on Taking Care of Your Behavioral Health: Tips for Social Distancing, Quarantine, and Isolation during an Infectious Disease OutbreakFind the Network web page at http://www.esrdnetwork18.org/wp-content/uploads/20200313-Coping-with-ID-Outbreaks.pdf.  While it’s aimed at facility staff, patients will also find it useful for managing their own stress.

3/12 World Kidney Day and National Kidney Month

March 12, 2020 is World Kidney Day, sponsored by the International Society of Nephrology and the International Federation of Kidney Foundations.  This year’s theme is Kidney Health for Everyone Everywhere – from Prevention to Detection and Equitable Access to Care.  Find more information at https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5808a1.htm and a campaign toolkit at https://www.worldkidneyday.org/2020-campaign/2020-campaign-materials/.

March is also National Kidney Month, with the theme Take the Pressure off Your Kidneys and Your Health.  Find more information at https://www.kidney.org/content/national-kidney-month and https://www.niddk.nih.gov/health-information/community-health-outreach/national-kidney-month.  The latter includes a campaign toolkit, including posters like the one below, in English and Spanish.

To support National Kidney Month, NKF, HHS, and ASN have launched a nationwide risk campaign called Are You the 33%?.  Find details at https://www.kidney.org/news/nationwide-kidney-risk-campaign-launched-nkf-hhs-and-asn.

“Are You the 33%?” CKD Campaign

To honor National Kidney Month (March), HHS, ASN, NKF, and private partners including CVS Kidney Care, have launched a nationwide campaign to reach the 33% of American adults who are at risk of kidney disease, and to help them avoid further development of the disease.  Find more information at https://www.kidney.org/news/nationwide-kidney-risk-campaign-launched-nkf-hhs-and-asn.  They plan to also launch a Spanish-language version on September 15, 2020 for National Hispanic Heritage Month (September 15-October 15).

6/12+ Infection Control Tools

  • In mid-June 2019 a series of presentations on Infection Control, offering free CME/CE credits to physicians, nurses, and pharmacists, will expire.  CDC and Medscape produced them in 2017 with the intention that they’d be valid for two years.  The six presentations include Risk Recognition, Environmental Services, Medical Equipment, Nonsterile Gloves, Hierarchy of Controls, and Injection Safety.  Find them at https://www.cdc.gov/infectioncontrol/training/cme-info.html.

3/22+ CEU Courses in Spanish

The Advanced Renal Education Center offers an extensive list of recorded online courses on kidney health and treatments, some of which are also offered in Spanish, and some of which are also offered for continuing education credits.  They have scheduled Spanish-language online continuing-education webinars on Fundamentals of PD for March 22, 2019 and on Peritonitis in PD for March 28, 2019.  See https://www.advancedrenaleducation.com/elearning/all for details.  The Advanced Renal Education Center is created and maintained by Fresenius, but their courses are open to everyone.