Crisis Management for Healthcare Professionals

While it is not possible to plan for every possible situation, the following crisis management measures are recommended:

  1. Communication between healthcare professionals

  2. Advance Care Planning (including the Goals of Care Designation Order)

    Patients should have a Green Sleeve with a documented decision for CKM. The Goals of Care Designation (GCD) Order should clearly state that the patient has chosen not to have dialysis. The patient and family should know where to keep it (on or near the fridge) and they should bring it with them to any medical appointments or if they have to go to the hospital.

    CKM alert label should be placed on the bottom right corner of the patient's Green Sleeve.

    Note: Do not obscure the patient name on the GCD order. 
  3. Community Supports (eg. Home Care) in place

  4. Discuss and create a Crisis Action Plan with your patient. A crisis action plan is used to plan for and be prepared for a decline in your patient’s kidney function.

    This document can be used to plan with your patient and their family to know how to act during a crisis: who to call (SUPPORT), which medication to take (SYMPTOM) and what to do in an EMERGENCY. It is strongly recommend that patients keep this sheet in their Green Sleeve.