G2. Physician Rounds |
G.2.1 We recommend that during the COVID-19 pandemic, nephrologists and their teams develop a plan to provide regular medical assessments of their dialysis patients, while maintaining strict and appropriate infection control precautions.
G.2.2 We suggest patients be regularly assessed for suitability to transition to home dialysis therapies. |
Principles I, III, IV, V |
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● Nephrologists and nurse practitioners caring for hemodialysis patients should be available for in-person assessment of patients where patient safety and care planning demands face-to-face assessment. ● When in the hemodialysis unit patient care area, strict and appropriate infection prevention and control procedures should be followed. These include ● Wearing mask and visor while in the patient care area. ● Maintaining a distance of at least 2 m from patients except during necessary physical examination, and from staff. ● Using full droplet/contact precautions when performing necessary physical examination. ● In certain circumstances, the nephrologist may provide care virtually by phone, video, or other communication when in the interests of patient and staff protection. ● Other health care workers (eg, dieticians, pharmacists, physiotherapists) should follow their local hospital guidelines. We suggest that these professionals may minimize in-person visits and provide care virtually whenever possible without reducing the quality of care provided. ● Home dialysis therapies may be considered to limit ongoing exposure to patients and staff in the in-center hemodialysis unit. |