COVID-19: Renal Medicine service guide

Updated November 2020

Scope

This information provides guidance on the management of Renal patients across Western Devon during the Covid-19 pandemic. The information is based on guidance from The Renal Association, "COVID-19: Information and guidance for renal professionals" and NICE, "NG 160: COVID-19 rapid guideline: dialysis service delivery."

National guidance

Renal Association website: COVID-19: Information and guidance for renal professionals

NICE website: COVID-19 rapid guideline: dialysis service delivery [NG160]

2WW referrals

There is no 2WW referral service.

Conditions with specific guidance

Renal Transplant Recipients

"Most patients active on the transplant waiting list remain active at the current time, but this is under constant review and may change. Existing recipients of renal transplants have been informed to call the transplant team directly if they feel unwell or if they incidentally test positive for COVID. GPs are encouraged to contact the renal consultant on call via switchboard (24 hours a day) if they have any concerns regarding a renal transplant recipient."

Haemodialysis Patients

Dialysis patients have been advised to contact their dialysis unit prior to their dialysis session if they are feeling unwell. Screening will then be arranged for suspected cases of COVID-19 to facilitate safe cohorting of patients with COVID-19 within the dialysis unit. Patients requiring admission to hospital will be dialysed on Mayflower ward.

Urgent referrals

Any cases considered urgent by GPs in the region should be discussed with the renal consultant on call, who can arrange investigation and onward management as appropriate or give advice. The on call consultant is contactable via switchboard 24 hours a day.

Routine referrals

All new routine referrals will be clinically triaged and will either be added to a waiting list or, if appropriate, A&G will be given.

Please ensure that a practice-based system is in place to check daily for returning referrals with A&G.

Prior to making a routine referral, please ensure that any appropriate Policy or CRG has been reviewed and that all the suggested investigations and management options have been considered.

Existing new and follow-up routine appointments have been cancelled and changed to telephone / video consultation where appropriate.

Urgent advice

The renal consultant on call is contactable via switchboard: 01752 202082 and is available to give telephone advice 24 hours a day to any GPs or hospital specialists.

Advice & Guidance

The renal consultant on call is contactable via switchboard: 01752 202082 and is available to give telephone advice 24 hours a day to any GPs or hospital specialists.

There are no telemedicine services.

Covid 19 High risk patient advice

In line with advice from the Renal Association, we have tried to identify all existing renal patients receiving immunosuppression. They have been sent a letter advising them of their high risk status and to shield at home. These letters have been copied to their GPs.

Western Devon Renal contact information

Renal consultant on call is contactable via Derriford Hospital switchboard: 01752 202082, 24 hours a day.

Individual consultants can be contacted via their secretary.

Transplant Specialist Nurses are contactable in office hours: 01752 437145. Out of hours contact Mayflower Ward: 01752 431485

Dialysis units are contactable via Derriford Switchboard: 01752 202082 in office hours

Supporting Information

Patient Information

Pathway Group

This guideline has been signed off on behalf of the NHS Devon Clinical Commissioning Group

Last updated: 19-11-2020

 

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