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