For sufferers with suspected or confirmed COVID-19 requiring intermittent hemodialysis within the acute care setting, dialysis ought to ideally be carried out within the affected person’s hospital room with the door closed. This serves to restrict the affected person’s motion inside the hospital.
If the affected person is to be dialyzed within the acute care dialysis unit, contemplate the next:
Transporting affected person to the acute care dialysis unit
When a affected person with suspected or confirmed COVID-19 is being transported to the acute care dialysis unit, guarantee HCP adhere to beneficial an infection management practices. The affected person ought to put on a facemask throughout transportation. Further details about the private protecting tools beneficial for transport personnel is offered right here.
Dialyzing affected person in an acute care dialysis unit isolation room
If the acute care dialysis unit has an isolation room, hemodialysis needs to be carried out within the isolation room with the door closed. Hepatitis B isolation rooms ought to solely be used for dialysis sufferers with confirmed or suspected COVID-19 if:
1) the affected person is hepatitis B floor antigen optimistic or
2) the power has no sufferers on the census with hepatitis B an infection who would require therapy within the isolation room.
The isolation room needs to be terminally cleaned after the care of every affected person with COVID-19. Please confer with Query 5 for cleansing and disinfection of dialysis machine, tools, and provides.
Dialyzing a number of sufferers with confirmed COVID-19 (cohorting) in a shared room within the acute care dialysis unit
In a scenario the place there are a number of sufferers with confirmed COVID-19 requiring hemodialysis (non-ICU), contemplate cohorting the sufferers on the identical dialysis shift, ideally the final dialysis shift of the day to permit for terminal cleansing of the dialysis unit following therapy. If potential, sufferers with out COVID-19 mustn’t obtain dialysis throughout the identical shift (in the identical room); if sufferers with out COVID-19 are dialyzed on the similar time within the unit, they need to be stored a minimum of 6 toes away from the COVID-19 sufferers always. Sufferers with confirmed or suspected COVID-19 ought to proceed to put on their facemask throughout therapy and cling to acceptable respiratory hygiene and cough etiquette. Please confer with Query 5 for cleansing and disinfection of dialysis machine, tools, and provides.