Summary: The old consent forms are gone. There are now only 3 dialysis consents as shown below, differentiated by indication only, no longer delineated by modality.
- One for ESKD (download PDF)
- One for AKI (download PDF)
- One for poisoning and intoxication (download PDF)
All dialysis modalities are covered within each of these indications. The new consents should apply indefinitely as long as the indication has not changed, and there is no major change in condition that would be expected to alter the original consent. If the indication has changed (i.e. AKIà ESRD) or if patient has repeated but separate admissions for AKI-D, the patient should be reconsented.
FAQ:
- What if my patient with ESKD switches from PD to HD (or vice versa)?
If they have signed this new Chronic Dialysis consent, there is no need to reconsent: PD and HD are both covered.
- What if they haven’t signed the new consent but they signed the old PD consent form, and need to switch to HD?
Then they would need to sign the new consent form—after this both modalities are covered.
- If the older consent form is on file, is it still valid?
Yes. But if they change modality, you would need to reconsent with these new universal modality forms.
- Do you need to reconsent a patient with ESKD every time they are readmitted?
The answer is still no—just one consent on file is sufficient. And if you get them to sign one of the new consent forms, you should realistically never need to reconsent them again even if they change modalities!
- What about patients with AKI? What about recurrent AKI? When should they be reconsented using the ESKD RRT consent?
Each AKI-D consent should only cover one admission. If they are admitted again and require dialysis they should either be reconsented again for AKI-D or consented with the ESRD dialysis consent (if you deem they are now ESRD).
- What about CRRT consent?
Again, if you have consented them with the new consent form, there is no need to consent for any specific modality. CRRT is described under both the AKI consent form and in the ESRD consent form.
If they have an old HD consent on file and they require CRRT, you will need to reconsent them using the new consent, but after this you are done—forever!
