Table 2.

Key recommendations of the KCERC

For Patients with Kidney FailureFor Nephrology ProvidersFor Federal, State, andLocal Emergency Providers
  • Keep updated lists at all times

    • medications and allergies

    • major health problems

    • physician and dialysis facility names and contact information

    • emergency contact information, including a kidney care team out-of-state contact if available and the KCERC emergency number (888-33-kidney)

    • emergency diet

  • Make an emergency supply kit

  • Planning

    • create a personal evacuation plan

    • evacuate early if authorities advise evacuation

    • make alternate plans for transportation to your regular dialysis facility

  • Make an emergency plan

    • appoint a leader and deputy to oversee preparation and operations

    • list emergency telephone numbers for patients and staff

    • procure and maintain emergency equipment and supplies

    • plan evacuation of patients and staff

    • secure equipment, supplies, and records if evacuation is needed

  • In the event of a disaster, report facility open/closed status to the ESRD network and daily nephrology disaster conference call (number to be publicized at the time of the disaster)

  • Help each patient develop an emergency plan as shown in the first column

  • Planning

    • include a kidney community representative in disaster planning

    • include provisions for kidney failure patients in all plans and involve ESRD networks in planning

    • encourage early evacuation of kidney failure patients

  • Addressing needs of dialysis facilities

    • list facilities as high-priority locations for restoration of services such as power, water, and telephone

    • facilitate delivery of supplies

    • assist with security, generators, and fuel

    • give priority to dialysis personnel for limited supplies such as housing and gasoline

    • make arrangements for patients and staff to pass roadblocks and travel during curfews

    • assist in identifying alternate dialysis sites when dialysis units close

  • Addressing needs of kidney patients in evacuee shelters

    • ask all evacuees about kidney failure, and make resumption of regular dialysis the highest priority

    • provide renal failure diet as indicated

    • concentrate dialysis patients in particular shelters near dialysis units with appropriate capacity

    • group dialysis patients in a particular area of the shelter to assist with monitoring and transportation