{"id":7665,"date":"2020-07-07T16:57:46","date_gmt":"2020-07-07T15:57:46","guid":{"rendered":"https:\/\/www.thinkkidneys.nhs.uk\/kquip\/?p=7665"},"modified":"2020-07-08T09:27:23","modified_gmt":"2020-07-08T08:27:23","slug":"merseyside-and-cumbria-kidney-patient-information-network-mc-kpin-covid-19-conversations","status":"publish","type":"post","link":"https:\/\/www.thinkkidneys.nhs.uk\/kquip\/blog\/merseyside-and-cumbria-kidney-patient-information-network-mc-kpin-covid-19-conversations\/","title":{"rendered":"Cheshire and Merseyside Kidney Patient Information Network Q&A (CaMKIN) – COVID-19 Q&A’s"},"content":{"rendered":"\n

Brilliant shielding CaMKIN Q&A zoom session with the wonderful Dr Hammed Anijeet, Kidney specialists at Royal Liverpool University Hospital; here are some of the conversations <\/p>\n\n\n\n

Virus\nis spread primarily from person to person through small droplets from the nose\nor mouth, which are expelled when a person with COVID-19 coughs, sneezes, or\nspeaks. Virus does not travel far which is why the current social distancing\nguideline is being reduced to. 1m from the 4th<\/sup> July. <\/p>\n\n\n\n

These\ndroplets can land on objects and surfaces around the person such as tables,\ndoorknobs and handrails.  People can\nbecome infected by touching these objects or surfaces, then touching their\neyes, nose or mouth. (Rationale behind\nhand washing or gels)<\/strong><\/p>\n\n\n\n

How contagious is the virus?<\/strong><\/p>\n\n\n\n

(chance of getting the disease if you come into contact with someone who has the virus) COVID-19 is spreading very easily and sustainably between people. Information on this pandemic suggests that this virus is spreading more efficiently than influenza, but not as efficiently as measles (highly contagious)<\/p>\n\n\n\n

The\nrate of catching coronavirus in the community continues to decrease. On average\nless than 1 in 1,700 in our communities are estimated to have the virus, down\nfrom 1 in 500 four weeks ago. (rationale\nbehind relaxation of rules)<\/strong><\/p>\n\n\n\n

I\nwill go through the questions now but may I remind you that these are basic\nprinciples and then have to be adapted to individual person. At Risk individuals:<\/strong> older age (8 out\nof 10 deaths are in people >65 years), ethnicity, medical conditions. Assume\nsome of you are shielding and some are not, I will try and mention the advice\nseparately as much as possible.<\/p>\n\n\n\n

The risk depends on the underlying conditions the person has and also on individual itself, some may take extra risk with full knowledge and other extreme will be people taking no risk at all. All of these decisions will have advantages and disadvantages. Each if you should obtain the information from reputed sources, balance it your mind and come to a plan.<\/p>\n\n\n\n

Public transport, with masks and social distancing (if we can) will it be safe to use buses again or best to avoid?<\/strong><\/p><\/blockquote>\n\n\n\n

I’m hoping to start college in september, will it be safe to or is it best to wait longer for more updates?<\/strong><\/p><\/blockquote>\n\n\n\n

For\nnon-shielding patients advice is changing from 4th<\/sup> July and for\nshielding patients from 1st<\/sup> August. Going to college should ok if\neverything goes well and the rate of catching COVID continues to reduce in the\ncommunity, we maintain social distancing and hand washing. Government will monitor the rate of infection and change\nguidance as needed \u2013 Leicester.<\/p>\n\n\n\n

Should we wear masks at all times when we are out and about? (Obviously taking them off to eat or drink)<\/strong><\/p><\/blockquote>\n\n\n\n

The\npresent advice suggests that you should wear a face covering (incudes mask) at\nall times when attending a hospital as an outpatient or for essential blood\ntests. It is likely that most hospitals will provide a surgical mask. As all\ntransplant patients should be shielding they should not be going on public\ntransport and also be in a crowded area like shopping malls. If you are going\nfor exercise (once a day) you must maintain social distancing (2meters at\npresent) at all times.<\/p>\n\n\n\n

Thoughts about going into shops with air conditioning as in the nhs hospital I work we have now been instructed not to use fans also masks at all times on site<\/strong><\/p><\/blockquote>\n\n\n\n

Evidence\nsuggests that the virus is less likely to be passed on outdoors and in\nwell-ventilated buildings. In good weather, try to leave windows and doors open\nin areas where people from different households come into contact, or move\nactivity outdoors if you can. Use external extractor fans to keep spaces well\nventilated and make sure that ventilation systems are set to maximise the air\nflow rate. <\/p>\n\n\n\n

Each organisation is supposed to do their own risk assessment, so there may a specific reason. If the rate of infection in the community has come down, there are other usual safe guards in place and you undertake them \u2013 risk is low \u2013 but depends on you.<\/p>\n\n\n\n

https:\/\/www.gov.uk\/government\/publications\/staying-safe-outside-your-home\/staying-safe-outside-your-home#keep-indoor-places-well-ventilated<\/a><\/p>\n\n\n\n

What advice is recommended regarding visiting other people who are also shielding, as I\u2019m unable to meet them outdoors? Can\u2019t see anything anywhere in the guidance about this.<\/strong><\/p><\/blockquote>\n\n\n\n

From 6\nJuly, guidance for extremely clinically vulnerable people will change to advise\nthat those shielding may wish to spend time outdoors in a group of up to 6\npeople, including people they do not live with, if they choose to do so. If you\ndo go out, you should take extra care to minimise contact with others by\nmaintaining social distancing. This can be in a public outdoor space, or in a\nprivate garden, uncovered yard or terrace.<\/p>\n\n\n\n

Additionally,\nthose who are shielding will be able to create a \u2018support bubble\u2019 with one\nother household, as long as one of the households in the \u2018bubble\u2019 is a single\nadult household (either an adult living alone or with dependent children under\n18). All those in a \u2018support bubble\u2019 can spend time together inside each\nother\u2019s homes, including overnight, without needing to maintain social\ndistancing.<\/p>\n\n\n\n

What precautions would you recommend when having visitors in the home? Or is hand gel\/social distancing enough? I don\u2019t want to only be able to see people outside.<\/strong><\/p><\/blockquote>\n\n\n\n

From 6th<\/sup> July, if you are\nshielding only with people in the support bubble until 1st<\/sup> August. <\/p>\n\n\n\n

Non-shielding – single adult households \u2013\nin other words adults who live alone or with dependent children only \u2013 can form\na \u2018support bubble\u2019 with one other household. All those in a support bubble will\nbe able to spend time together inside each other\u2019s homes, including overnight,\nwithout needing to stay 2 metres apart.<\/p>\n\n\n\n

You should avoid using toilets in other\npeople\u2019s home (outside of your support bubble) wherever possible and wipe down\nsurfaces after every use<\/p>\n\n\n\n

You should wipe down any surfaces or door\nhandles people from outside of your household or support bubble come into\ncontact with if walking through your home<\/p>\n\n\n\n

You should avoid sharing plates and\nutensils with people outside of your household or your support bubble\u202f<\/p>\n\n\n\n

You should avoid using paddling pools or\nother garden equipment with people outside of your household or bubble<\/p>\n\n\n\n

From 4th<\/sup> July, you can meet in\ngroups of up to two households (your support bubble counts as one household) in\nany location – public or private, indoors or outdoors. You do not always have\nto meet with the same household – you can meet with different households at\ndifferent times.<\/p>\n\n\n\n

Also, when do you think I can hug my friends and family that don\u2019t live with me? If I know they\u2019re covid free it\u2019s fine right? Thanks<\/strong><\/p><\/blockquote>\n\n\n\n

All\nthose in a support bubble will be able to spend time together inside each other\u2019s\nhomes, including overnight, without needing to stay 2 metres apart.<\/p>\n\n\n\n

However,\nit remains the case – even inside someone\u2019s home – that you should socially\ndistance from anyone not in your household or bubble<\/p>\n\n\n\n

Can we have covid-19 testing in the units as the risk to infection is going to go up considerably as more and more people are out and about and with shielding ending more patients are going to go out and about.<\/strong><\/p><\/blockquote>\n\n\n\n

Clarify\nwhat do they mean by unit? All the hospitals now have enough testing capacity\nand if there\u2019s a rise in infections we will be able test everyone.<\/p>\n\n\n\n

I\u2019ve got upcoming bloods due. Can we request antibody test with bloods?<\/strong><\/p><\/blockquote>\n\n\n\n

If you\nsuspect that you had infection while isolating\/shielding yes you can. Its\nclinical use is not clear in most situations. You cannot assume that you are\nimmune if it\u2019s positive.<\/p>\n\n\n\n

Is it ok to go to Broadgreen for bloods? Should we inform them beforehand that we are sheilding? When do clinic appointments start again or are you going to continue telephone appointments?<\/strong><\/p><\/blockquote>\n\n\n\n

BG is\nopen from 8.30 to 3, don\u2019t need make an appointment but expect social\ndistancing measures. It\u2019s likely that there will be les people close to 8.30.\nWear mask, wash hands\/alcohol gel. <\/p>\n\n\n\n

Clinics\nare likely to reopen from 6th<\/sup> or 13th<\/sup> July. We are going\nthrough all the clinics at least 2 weeks in advance and contacting patients if\nwe feel the blood tests are required or a telephone consultation is needed.\nMoving forward there will be less F2F appointments up to 50% reduction. It will\nbe replaced by bloods and review, telephone\/video consultation.<\/p>\n\n\n\n

Will telephone consultations and deliveries of immune suppressants cease with a return to face to face consultations? Thanks<\/strong><\/p><\/blockquote>\n\n\n\n

See\nabove<\/p>\n\n\n\n

If we return to face to face consultations, what new measures are in place at the Royal to manage risk of infection? Thanks<\/strong><\/p><\/blockquote>\n\n\n\n

There will be less patients waiting in the waiting area, washing hands\/alcohol gels will be available and wear masks. We are likely to be wearing plastic aprons, masks and gloves.<\/p>\n\n\n\n

Are there plans to test renal patients generally for Covid antibodies to see if any of us have had the virus and are unaware<\/strong>?<\/p><\/blockquote>\n\n\n\n

No\nmass testing as far as I know, it\u2019s clinical use is under question as you may\nhave see some reports around it.<\/p>\n\n\n\n

Are there any across the board changes to renal patients meds to reduce risk of infection? Thanks<\/strong><\/p><\/blockquote>\n\n\n\n

No,\nthere will never be universal changes to medications but in certain patients\nthe risks versus benefits of some medications may be discussed and a plan may\nbe made.<\/p>\n\n\n\n

What will be classed as covid-safe working conditions? I work as a teacher and not sure I will feel comfortable returning to a school environment in September and obviously have bump to think of! I know this is pretty personalised situation but if he can be of any help it will be appreciated x<\/strong><\/p><\/blockquote>\n\n\n\n

HSE guidance will be\nthere, it will be up to the employer to make sure that they adhere to these\nmeasures. There is likely to be individual risk assessment (as we all had) and\ndepending on this there may be suggestions to deploy you in a lower risk area,\noccupation therapy department of the employer will able able to help.<\/p>\n\n\n\n

\\You can get advice on your specific situation and employment rights by visiting the Acas website https:\/\/www.acas.org.uk\/contact<\/a> or calling the Acas helpline, 0300 123 1100<\/p>\n","protected":false},"excerpt":{"rendered":"

Brilliant shielding CaMKIN Q&A zoom session with the wonderful Dr Hammed Anijeet, Kidney specialists at Royal Liverpool University Hospital; here are some of the conversations Virus is spread primarily from person to person through small droplets from the nose or mouth, which are expelled when a person with COVID-19 coughs, sneezes, or speaks. Virus does not travel far which is why the current social distancing guideline…<\/p>\n","protected":false},"author":133,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_bbp_topic_count":0,"_bbp_reply_count":0,"_bbp_total_topic_count":0,"_bbp_total_reply_count":0,"_bbp_voice_count":0,"_bbp_anonymous_reply_count":0,"_bbp_topic_count_hidden":0,"_bbp_reply_count_hidden":0,"_bbp_forum_subforum_count":0,"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"enabled":false},"version":2}},"categories":[1],"tags":[],"class_list":["post-7665","post","type-post","status-publish","format-standard","hentry","category-blog"],"acf":[],"yoast_head":"\nCheshire and Merseyside Kidney Patient Information Network Q&A (CaMKIN) - COVID-19 Q&A's - The Kidney Quality Improvement Partnership<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.thinkkidneys.nhs.uk\/kquip\/blog\/merseyside-and-cumbria-kidney-patient-information-network-mc-kpin-covid-19-conversations\/\" \/>\n<meta property=\"og:locale\" content=\"en_GB\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Cheshire and Merseyside Kidney Patient Information Network Q&A (CaMKIN) - COVID-19 Q&A's - The Kidney Quality Improvement Partnership\" \/>\n<meta property=\"og:description\" content=\"Brilliant shielding CaMKIN Q&A zoom session with the wonderful Dr Hammed Anijeet, Kidney specialists at Royal Liverpool University Hospital; here are some of the conversations Virus is spread primarily from person to person through small droplets from the nose or mouth, which are expelled when a person with COVID-19 coughs, sneezes, or speaks. 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