{"id":14418,"date":"2020-05-13T15:20:50","date_gmt":"2020-05-13T09:50:50","guid":{"rendered":"https:\/\/www.smart-academy.in\/?p=14418"},"modified":"2024-07-17T11:45:46","modified_gmt":"2024-07-17T06:15:46","slug":"dialysis-during-covid-19-breakout","status":"publish","type":"post","link":"https:\/\/www.smart-academy.in\/hindi\/blog\/dialysis-during-covid-19-breakout\/","title":{"rendered":"COVID-19 \u092c\u094d\u0930\u0947\u0915\u0906\u0909\u091f \u0915\u0947 \u0926\u094c\u0930\u093e\u0928 \u0921\u093e\u092f\u0932\u093f\u0938\u093f\u0938!"},"content":{"rendered":"<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_81 counter-hierarchy ez-toc-counter ez-toc-white ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Table of Contents<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/www.smart-academy.in\/hindi\/blog\/dialysis-during-covid-19-breakout\/#Dialysis_for_normal_and_COVID-19_patients\" >Dialysis for normal and COVID-19 patients<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/www.smart-academy.in\/hindi\/blog\/dialysis-during-covid-19-breakout\/#Dialysis_Guidelines_during_COVID-19_pandemic\" >Dialysis Guidelines during COVID-19 pandemic<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/www.smart-academy.in\/hindi\/blog\/dialysis-during-covid-19-breakout\/#Prepping_up_the_dialysis_unit_for_COVID-19_Crisis\" >Prepping up the dialysis unit for COVID-19 Crisis:<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/www.smart-academy.in\/hindi\/blog\/dialysis-during-covid-19-breakout\/#Protocols_for_Haemodialysis_during_COVID-19_crisis\" >Protocols for Haemodialysis during COVID-19 crisis<\/a><ul class='ez-toc-list-level-4' ><li class='ez-toc-heading-level-4'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/www.smart-academy.in\/hindi\/blog\/dialysis-during-covid-19-breakout\/#For_patients\" >For patients<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-4'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/www.smart-academy.in\/hindi\/blog\/dialysis-during-covid-19-breakout\/#For_Dialysis_Staff\" >For Dialysis Staff<\/a><\/li><\/ul><\/li><\/ul><\/nav><\/div>\n<p><span style=\"color: #000000;\"><a href=\"https:\/\/www.smart-academy.in\/blog\/dialysis-during-covid-19-breakout\/\"><strong>COVID-19<\/strong><\/a> is a disease caused by the novel Coronavirus (SARS CoV-2) and people of all ages can get infected. However, the risk of getting infected is more for the elderly and people with ailments like Asthma, Diabetes, Coronary Heart Diseases, Chronic Obstructive Pulmonary diseases and Kidney disease.<\/span><\/p>\n<p><span style=\"color: #000000;\">Although the COVID-19 is a new disease, the common symptoms have been classified by the World Health Organization (WHO), however, the list is increasing and is a new subject for research for Public Health, epidemiologist and scientist. As far as data compiled at the global level it, has indicated that almost 5% COVID-19 positive cases develops acute kidney Injury who may need to go for dialysis.<\/span><\/p>\n<h3><span class=\"ez-toc-section\" id=\"Dialysis_for_normal_and_COVID-19_patients\"><\/span><span style=\"color: #000000;\">Dialysis for normal and COVID-19 patients<\/span><span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p><span style=\"color: #000000;\">The Chronic Kidney Disease Stage-5 (CKD-5) patients on dialysis [maintenance haemodialysis (MHD) or Continuous Ambulatory Peritoneal Dialysis (CAPD)] are also vulnerable group because of their existing comorbidities, repeated unavoidable exposure to the hospital environment and immunosuppressed state due to CKD-5. These patients are therefore not only more prone to acquire infection but also develop severe complications as compared to the general population. Known CKD patient should adhere to the prescribed schedule and not miss their dialysis sessions to avoid any emergency dialysis. &#8220;Skipping dialysis can lead to serious adverse effects and increases the risk of hospitalization.\u201d<\/span><\/p>\n<p><span style=\"color: #000000;\">Dialysis should be continued in the following type of 3 cases during this pandemic<\/span><\/p>\n<ol>\n<li><span style=\"color: #000000;\">Patient who are already on dialysis<\/span><\/li>\n<li><span style=\"color: #000000;\">Patient who have fallen to Acute Kidney Injury due to COVID-19 complications<\/span><\/li>\n<li><span style=\"color: #000000;\">Critically ill Patients requiring renal replacement therapy<\/span><\/li>\n<\/ol>\n<h3><img fetchpriority=\"high\" decoding=\"async\" class=\"aligncenter wp-image-14419 size-full\" src=\"https:\/\/www.smart-academy.in\/wp-content\/uploads\/2020\/05\/Blog-Image-Dialysis-Technician.jpg\" alt=\"Dialysis Technician\" width=\"808\" height=\"288\" srcset=\"https:\/\/www.smart-academy.in\/wp-content\/uploads\/2020\/05\/Blog-Image-Dialysis-Technician.jpg 808w, https:\/\/www.smart-academy.in\/wp-content\/uploads\/2020\/05\/Blog-Image-Dialysis-Technician-300x107.jpg 300w, https:\/\/www.smart-academy.in\/wp-content\/uploads\/2020\/05\/Blog-Image-Dialysis-Technician-768x274.jpg 768w\" sizes=\"(max-width: 808px) 100vw, 808px\" \/><\/h3>\n<h3><span class=\"ez-toc-section\" id=\"Dialysis_Guidelines_during_COVID-19_pandemic\"><\/span><span style=\"color: #000000;\"><br \/>\nDialysis Guidelines during COVID-19 pandemic<\/span><span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p><span style=\"color: #000000;\">It\u2019s very clear that the dialysis units and wards of most hospitals would be catering to both COVID-19 and normal patients requiring dialysis. Since dialysis patients are more prone to get infected, it is the utmost responsibility to prevent the spread of infection to non-COVID-19 patients. To Stop this contagious disease, here are the WHO approved protocols &#8211;<\/span><\/p>\n<h3><span class=\"ez-toc-section\" id=\"Prepping_up_the_dialysis_unit_for_COVID-19_Crisis\"><\/span><span style=\"color: #000000;\">Prepping up the dialysis unit for COVID-19 Crisis:<\/span><span class=\"ez-toc-section-end\"><\/span><\/h3>\n<ul>\n<li><span style=\"color: #000000;\">Signage in English as well as regional language saying &#8211; \u201cTo report to nurse or paramedic if any signs or symptoms of COVID-19\u201d<\/span><\/li>\n<li><span style=\"color: #000000;\">Working of the dialysis unit at proper appointments, tracking and scheduling so that social distancing norms are also achieved as well as dialysis unit is also functional to its max<\/span><\/li>\n<li><span style=\"color: #000000;\">All dialysis unit personnel should be updated with the warning signs of COVID-19<\/span><\/li>\n<li><span style=\"color: #000000;\">Universal infection control practices concerning the current pandemic should be followed<\/span><\/li>\n<li><span style=\"color: #000000;\">Seven steps Hand Hygiene protocol with at least 60% alcohol-based sanitizer or soap and water for a minimum of 20 seconds to be followed<\/span><\/li>\n<li><span style=\"color: #000000;\">Dialysis paramedic, nurse and other staff should be aware of the usage of PPEs<\/span><\/li>\n<li><span style=\"color: #000000;\">Patients with COVID symptoms are to be referred to local health authorities<\/span><\/li>\n<li><span style=\"color: #000000;\">Dialysis unit personnel should be quarantined if they attend a COVID-19 positive patient<\/span><\/li>\n<\/ul>\n<h3><span class=\"ez-toc-section\" id=\"Protocols_for_Haemodialysis_during_COVID-19_crisis\"><\/span><span style=\"color: #000000;\">Protocols for Haemodialysis during COVID-19 crisis<\/span><span class=\"ez-toc-section-end\"><\/span><\/h3>\n<h4><span class=\"ez-toc-section\" id=\"For_patients\"><\/span><span style=\"color: #000000;\">For patients<\/span><span class=\"ez-toc-section-end\"><\/span><\/h4>\n<p><span style=\"color: #000000;\"><strong>a. Before arrival to the dialysis unit<\/strong>: All units should instruct their patients to recognize early symptoms of COVID-19 (recent onset fever, sore throat, cough, recent shortness of breath\/dyspnoea, without major interdialytic weight gain, rhinorrhoea, myalgia\/body ache, fatigue and diarrhoea) and contact the dialysis staff before coming to the dialysis centre. The unit needs to make necessary arrangements for their arrival in the screening area.<\/span><\/p>\n<p><span style=\"color: #000000;\"><strong>b. Screening Area<br \/>\n<\/strong><\/span><span style=\"color: #000000;\">1. It is recommended that dialysis unit should have a designated screening area, where patients can be screened for COVID-19 before allowing them to enter inside the dialysis area. Where it is not possible, patients may wait away from the dialysis unit until they receive specific instructions from the unit staff<br \/>\n<\/span><span style=\"color: #000000; font-size: 16px;\">2. The screening area should have adequate space to implement social distancing between patients and accompanying persons while waiting for dialysis. In the screening area, every patient should be asked about:\u00a0<\/span><\/p>\n<ul>\n<li><span style=\"color: #000000;\">Symptoms suspected of COVID-19<\/span><\/li>\n<li><span style=\"color: #000000;\">History of contact with a diagnosed case of COVID 19<\/span><\/li>\n<li><span style=\"color: #000000;\">History of contact with a person who has had recent travel to a foreign country or from high COVID-19 prevalence area<\/span><\/li>\n<\/ul>\n<p><span style=\"color: #000000;\">3. Patients with symptoms of respiratory infection should put on a facemask before entering the screening area and keep it on until they leave the dialysis unit. Dialysis unit staff should make sure an adequate stock of masks is available in the screening area to provide to the patients and accompanying person if necessary<br \/>\n<\/span><span style=\"color: #000000;\">4. There should be a display of adequate IEC material (posters etc. about COVID-19 in the screening area<\/span><\/p>\n<p><span style=\"color: #000000;\"><strong>C. Inside Dialysis Unit<\/strong><\/span><\/p>\n<p><span style=\"color: #000000;\">1. Suspected or positive COVID-19 patients should properly wear a disposable three-layer surgical mask throughout the dialysis procedure<br \/>\n<\/span><span style=\"color: #000000;\">2. Patients should wash hands with soap and water as per hand hygiene protocols<br \/>\n<\/span><span style=\"color: #000000;\">3. Patients should follow cough etiquettes, like coughing or sneezing by covering the face or using the tissue paper<br \/>\n<\/span><span style=\"color: #000000;\">4. Patients should throw used tissues in the trash. The unit should ensure the availability of plastic-lined trash cans appropriately labelled for disposing of used tissues. The trash cans should be foot-operated ideally to prevent hand contact with infective material<\/span><\/p>\n<h4><span class=\"ez-toc-section\" id=\"For_Dialysis_Staff\"><\/span><span style=\"color: #000000;\"><strong>For Dialysis Staff<\/strong><\/span><span class=\"ez-toc-section-end\"><\/span><\/h4>\n<p><strong><span style=\"color: #000000;\">During Dialysis<br \/>\n<\/span><\/strong><span style=\"color: #000000;\">1.\u00a0 It should be ensured that a patient or staff in a unit does not become the source of an outbreak<br \/>\n<\/span><span style=\"color: #000000;\">2. Each dialysis chair\/bed should have disposable tissues and waste disposal bins to ensure adherence to hand and respiratory hygiene, and cough etiquette and appropriate alcohol-based hand sanitizer within reach of patients and staff<br \/>\n<\/span><span style=\"color: #000000;\">3. Dialysis personnel, attendants and caregivers should also wear a three-layer surgical facemask while they are inside a dialysis unit<br \/>\n<\/span><span style=\"color: #000000;\">4. Ideally, all patients with suspected or positive COVID-19 be dialyzed in isolation. Ways of Isolation can be<\/span><\/p>\n<ul>\n<li><span style=\"color: #000000;\">Separate rooms<\/span><\/li>\n<li><span style=\"color: #000000;\">Different shifts<\/span><\/li>\n<li><span style=\"color: #000000;\">Segregating Dialysis unit in 3 categories, for COVID-19 positive, for COVID-19 suspect and non-COVID-19 patients, if possible at a different level in the hospital<\/span><\/li>\n<li><span style=\"color: #000000;\">If the different level is not possible, then different rows with separations can be used<\/span><\/li>\n<\/ul>\n<p><span style=\"color: #000000;\">5. Staff caring for suspected or proved cases should not look after other patients during the same shift<br \/>\n<\/span><span style=\"color: #000000;\">6. Dialysis staff should use of proper PPEs for proven or strongly suspected patients of COVID-19. Isolation gowns should be worn over<br \/>\n<\/span><span style=\"color: #000000;\">7. Separating equipment\u2019s like stethoscopes, thermometers, Oxygen saturation probes and blood pressure cuffs between patients with appropriate cleaning and disinfection should be done in between shifts<br \/>\n<\/span><span style=\"color: #000000;\">8. Stethoscope diaphragms and tubing should be cleaned with an alcohol-based disinfectant including hand rubs in between patients<br \/>\n<\/span><span style=\"color: #000000;\">9. Personal Protection and Hygiene, Self- assessment and mindfulness for any early signs and symptoms. If any of the symptoms appear, then one must inform and undergo quarantine for 14 days<\/span><\/p>\n<p><span style=\"color: #000000;\">Interviewing a Dialysis Technician about tackling the workload during this Pandemic crisis, from a renowned Dialysis Unit in Mumbai, he quoted, \u201cSafety Precautions are Must! As a dialysis technician, we are taking all the steps stated by the World Health Organisation &amp; NKF. Patients are asked to follow all the precautions in Hospital as well as at their home. Till now we are providing good dialysis treatment with all the preventive measures and will also tackle further if the situations are getting worse.\u201d It is necessary to provide emergency care for COVID-19 and non-COVID-19 patients, and staffs who work in such facilities so that they keep the dialysis unit safe and functional.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>COVID-19 is a disease caused by the novel Coronavirus (SARS CoV-2) and people of all ages can get infected. However, the risk of getting infected is more for the elderly and people with ailments like Asthma, Diabetes, Coronary Heart Diseases, Chronic Obstructive Pulmonary diseases and Kidney disease. Although the COVID-19 is a new disease, the [&hellip;]<\/p>\n","protected":false},"author":5,"featured_media":14419,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"site-sidebar-layout":"default","site-content-layout":"default","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"default","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center 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