COVID-19 Response Team Recommendations for Dialysis Facilities

The ASN, working in conjunction with the Centers for Disease Control and Prevention (CDC) has put together recommendations for dialysis facilities on managing the COVID-19 pandemic. A brief summary of each recommendation is available here:
 

  • All patients should be screened for symptoms on arrival. Symptomatic patients should be advised to call ahead. Those with symptoms or at risk because of likely exposure to COVID-19 should wear a mask while in the facility.
  • Patients with suspected or confirmed COVID-19 should be isolated. A separate room with a closed door (not a room used for hepatitis B positive patients) should be used if available. Or patients may be cohorted in a shift, at a facility, or if no other option exists, at the end of a row with a mask at least six feet from other patients.
  • Patients should be instructed on mask use, cough etiquette, and proper tissue disposal.
  • Dialysis staff should employ standard contact and droplet precautions, including isolation gowns, gloves, masks, and eye shields or goggles. Protective gear must be used judiciously in the face of shortages.
  • Routine disinfection of surfaces and equipment should be used.
  • Public health officials should be notified promptly of possible COVID-19 cases.
  • Review online guidance from the CDC and ASN frequently. Recommendations are likely to be updated frequently.
     

Source: Kliger A and Siberzweig J. Mitigating risk of COVID-19 in dialysis facilities. Clin J Am Soc Neph March 16, 2020. https://doi.org/10.2215/CJN.03340320

April 2020 (Vol. 12, Number 4)