Contingency Plan For Dialysis Unit in The Event

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CONTINGENCY PLAN FOR

DIALYSIS UNIT IN THE


EVENT OF DISASTER

PREPARED BY
SN LEELA
OBJECTIVE

 To standardized the smooth process of


diverting patients to alternative centre.
 To ensure safe and continued haemodialysis
treatment given to patient.
 Trainall dialysis staff and patient to react
appropriately in a disaster.
INTRODUCTION
 In the event of Haemodialysis services, hospital is
responsible to divert existing patients to other
haemodialysis centre to ensure continuance of
haemodialysis treatment.
 Hospital is to be responsible for any financial cost
incurred during the process of diverting patients to
alternative centre.
 For example :
 Major renovation
 Fire
 Outbreak of infectious disease (Hep B, Hep C and
Covid)
FLOW CHART (SHUTDOWN)
STAFF RESPONSE CARD CODE
RED
 Firefighter (ERT)
 Immediately rush to the seen to control the fire, if
safe.
 Report on the status of the fire to Emergency
Manager (EM)
 Inform (EM) when fire is under controlled or put out
and wait for futher instruction.
 If code Orange is activated, assist floor staff with
the evacuation.
CONTINUE…
 Floor warden ( Nurse Manager/ Charge Nurse/ Team Leader )
 Instruct staff to remove patient from immediate danger to the safe
zone.
 Check all fire doors and smoke doors are properly closed.
 Instruct staff on duty to conduct floor searching to ensure all
patient are accounted.
 Ensure inpatient list and staff roster in hand for the roll call
purpose.
 Report on the status of the fire to EM and act on his/her instruction.
 Ensure no re-entering of the staffs / patients to the site.
 Shut down all the machine gas equipment.
 Close the door after the last person out.
 Guide everyone to the assembly area and conduct roll call when
everyone arrived at assembly point.
CONTINUE…
 Nursing Staff on Duty
 Remove the patients from immediate danger to the safe zone.
 Close all the windows and doors.
 Maintain patient care.
 Determine the patient’s status in the ward :
 Critical / requires ventilation or special equipment
 Non – critical / Non - ambulatory
 Non – critical / Non – ambulatory
 Report patients hand count status to floor warden.
 If code Orange is activated perform total evacuation of patients
from building to assembly point.
SCREENING AND TREATMENT
OF COVID -19 IN
HEAMODIALYSIS PATIENTS
 SCREENING AT HD CENTRE
 Check for fever ( with thermal scan )
 Ask for symptoms of ARI, travel and contact with COVID
patients.

 Person under investigation (PUI)


 Presenting with fever or Acute Respiratory Infection
(ARI) and history of visiting / Residing Affected Countries
 Close contact with confirmed case COVID -19
CLOSE CONTACT WITH
CONFIRMED CASE
 WITH SYMPTOM / POSITIVE
ADMIT
 Notification to CDC.
 All ERSF patient who are symptomatic PUI will be
admitted regardless of the severity :
 HD admitting hospital
 Admitting hospital to inform patient’s HD centre.
CONTINUE…

 HD at own HD centres :
 Isolation room at own HDU.
 Own transport to HDU.
 HD treatment start at 8PM
 Inform Nephrologist regarding patient condition
before start HD
 Provided full PPE for HDU staff.
 Terminal cleaning after finished the case.
CONTINUE…

 WITHOUT SYMPTOM / NEGATIVE


HOME QUARATINE
 Wait at separate waiting area 2 meters apart from other
people.
 Contact nephrologist, local health authorities, ID
specialists.
 Mask patient and hand hygiene. Disinfect waiting area.
 HD at own HD centre.
 Isolation room at own HDU
 Separate area 2 metre apart from other stations at own
HDU
CONTINUE…

 Determine transport to HDU :


 Own transport or pre – specified vehicles
 Do not use public transport
 Consider admission if transport cannot be
arranged.
 PPE for HDU staff.
 Terminal cleaning.
THANK YOU

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