Elaboration and validation of a protocol for the care of patients with COVID-19 in hemodialysis centers

Elaboración y validación de protocolo de atención al paciente con COVID-19 en centros de hemodiálisis

Objective:  To describe the elaboration and validation of a protocol for the care of suspected patients with Coronavirus Disease-19 (COVID-19) undergoing hemodialysis.

Method:  A methodological study conducted from March to August 2020 at a hospital in southern Brazil. The study involved situational diagnosis, literature review, protocol elaboration and content validation (scope, clarity and relevance). Ten professionals from the multidisciplinary team with experience in caring for patients with kidney disease and an official Nursing supervisory body participated in the validation. 100% consensus was reached among the experts.

Results:   The following were elaborated: “Flow of patient care consisting of six stages” and “Management plan for dialysis centers”. The validation allowed improving and refining the content, complying with the precepts of health standards, safety and clinical guidelines.

Final considerations:  The elaboration and validation of the protocol can standardize and guide the clinical practice, promoting continuity and safety in care, and can be used in other centers.

Keywords:
Renal dialysis; Clinical protocols; Coronavirus infections; Validation study; Patient safety