DISASTER INFO

In the event of a disaster leaving the dialysis unit inoperable, the following procedures will be used.

• You will be contacted by telephone by a member of your care team informing you of a potential or current disaster causing us to change or shut down operation. In certain instances, text message notifications may also be sent out. They will inform you of updated schedules or other relevant information.
• In case of a disaster where we are inoperable, we will set up and make arrangements for treatment at another dialysis facility.
• Please refer to your emergency diet guidelines and start your emergency.

In the event of a disaster making it difficult for you to come to your scheduled dialysis treatment, the following preparations may prevent missed treatments:

• Notify the person, people, or company who can help you get to dialysis. This may include the city streets or country road departments. Let them know you are a dialysis patient and that missing treatments can be life-threatening. Let them know the time you need to be at treatment. If you live in an area where snow removal is provided by a private company, tell the manager that you need to be out a certain time for dialysis. Let us know if you need a letter of confirmation.

DISASTER CONTACTS:

The Renal Network: 1-800-456-6919

Comprehensive emergency guide for dialysis patients - https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/downloads/10150.pdf

City of Chicago emergency website - https://www.cityofchicago.org/city/en/depts/oem/provdrs/alertchicago.html

Helpful information - https://www.kidney.org/sites/default/files/11-10-0807_IBD_disasterbrochure.pdfhttps://www.kidney.org/help

Emergency shelter locator - https://www.redcross.org/get-help/disaster-relief-and-recovery-services/find-an-open-shelter.html

Kidney Community Emergency Response - https://www.kcercoalition.com/

DISASTER KIT

Keep your emergency supplies together. You may want to designate a box or some shelves for your emergency supply. Check and restock every 6 months.

What to have in case of a disaster or emergency:

• Your emergency health and dialysis prescription information.
• First aid kit
• 5-7 day supply of all your medicine(s)
• measuring cups, teaspoons and tablespoons, dropper
• plastic knives, spoons, forks
• pack of napkins and paper plates
• pack of plastic or Styrofoam bowls
• paper towels
• pack of plastic cups
• candles
• matches
• can opener (manual)
• baby wipes
• sharp knife
• flashlight & batteries
• scissors
• garbage bags
• plastic jug for storing water
• 1 small bottle of household chlorine bleach
• piece of cloth, cheese cloth, or handkerchief
• strainer
• extra pair of eye glasses (in case first pair breaks)
• radio & batteries
• 5-day supply of antibiotics (if you use peritoneal dialysis and recommended by your doctor)
• Diuretics (fluid pills), sorbitol, and Kayexalate for potassium control (if recommended by your doctor)

Also, if you are diabetic:

• 5-7 day supply of syringes
• 5-7 day supply of insulin (Keep cool but do not freeze best kept refrigerated, but will keep at room temperature for up to one month.)
• 5-7 day supply of glucose monitoring supplies like lancets and alcohol wipes.
• If you use a glucose meter, have spare batteries and test strips.

If you have heart disease:

• 5-7 day supply of all blood pressure, heart, or anticlotting medications.

Emergency Food Shopping List

This list provides a 6 day supply of canned foods and water.

Use fresh foods as long as they are available.

• 3 packages of dry milk OR 4 - 8 ounce (oz.) cans evaporated milk
• 1 or 2 gallons of distilled or bottle water
• 2 packages powdered fruit-flavored drink mix OR 1container fruit-flavored drink (pre-mixed)
• 1-2 cans or bottles of soft drink
• 6-pack of 4 oz. cans or boxes of fruit juice (cranberry, apple, or grape)
• 6 boxes of single-serving cereal (No Raisin Bran)
• small box white sugar (or box of sugar packets)
• 2 - 4 oz. cans or "fruit bowls" of fruit (pears, peaches, oranges, mixed fruit, applesauce, or pineapple. NO raisins)
• 6 - 8 oz. cans of low sodium vegetables (carrots, green beans, peas, corn, or wax beans)
• 6 - 3 oz. or 4 oz. cans of low sodium meat (tuna, crab, chicken, salmon, or turkey)
• 1 jar peanut butter
• 1 small jar jelly or honey
• 3 small jars mayonnaise (or 8-12 single-serve foil wrapped packs)
• 1 loaf regular bread* (not salt-free, with NO preservatives)
• 1 box vanilla wafers OR graham crackers
• 5 packages of candy (sourballs, hard candy, jelly beans, or mints)
• 1 package marshmallows
• 1 jumbo pack of chewing gum
• *Bread can be kept frozen for 3 months.

3-Day Emergency Diet Plan

If you are diabetic, avoid the sweets in this diet plan. However, have some high sugar content foods like hard candies in case you go "low" with too little sugar in your body.

Please keep in mind that once opened, some of these items may be perishable. Always check to make sure that items have not spoiled before eating them.

DAY ONE (Add 4 oz. of water to take medicine)

Breakfast

Cereal and fruit:

1/2 cup milk or mix 1/4 cup evaporated milk with 1/4 cup

distilled water from sealed containers or disinfected water

1 box of cereal (single-serving) (No Raisin Bran)

1 tbsp. sugar

1/2 can (2 oz.) canned peaches (drained)

Morning Snack

Vanilla wafers (5) or graham crackers (1 1/2 squares)

Sourballs (10)

Lunch

Peanut butter and jelly sandwich:

2 slices of bread

2 tbsp. peanut butter

2 tbsp. jelly

1/2 cup canned pears (drained)

4 oz. (1/2 cup) pre-made powdered fruit drink

Afternoon Snack

Marshmallows (10)

1/2 cup canned applesauce

Dinner

Chicken sandwich:

2 slices of bread

1/2 can (2 oz.) canned low sodium chicken

2 tbsp. mayonnaise

1/2 cup canned low sodium carrots (drained)

1/2 cup cranberry juice

Evening Snack

Jelly beans (10)

Vanilla wafers (5) or graham crackers (1 1/2 squares)

DAY TWO (Add 4 oz. of water to take medicine)

Breakfast

Cereal and fruit:

1/2 cup milk or mix 1/4 cup evaporated milk with 1/4 cup

distilled water from sealed containers or disinfected water

1 box of cereal (single-serving) (No Raisin Bran)

1 tbsp. sugar

1/2 can (2 oz.) canned pear (drained)

Morning Snack

1/2 cup canned applesauce

Jelly beans (10)

Lunch

Chicken sandwich:

2 slices of bread

1/4 cup (1 oz.) canned low sodium chicken

1 tbsp. mayonnaise

1/2 cup pineapple (drained)

4 oz. (1/2 cup) pre-made powdered fruit drink

Afternoon Snack

Mints (10)

1/2 cup canned applesauce

Dinner

Tuna sandwich:

2 slices of bread

1/2 can (2 oz.) canned low sodium tuna

1-2 tbsp. mayonnaise

1/2 cup canned low sodium peas drained

1/2 cup cranberry juice

Evening Snack

Vanilla wafers (5) or graham crackers (1 1/2 squares)

Sourballs (10)

DAY THREE (Add 4 oz. of water to take medicine)

Breakfast

Cereal and fruit:

1/2 cup milk or mix 1/4 cup evaporated milk with 1/4 cup

distilled water from sealed containers or disinfected water

1 box of cereal (single-serving) (No Raisin Bran)

1 tbsp. sugar

1/2 cup cherries (drained)

Morning Snack

Vanilla wafers (5) or graham crackers (1 1/2 squares)

Hard candies (10)

Lunch

Peanut butter and jelly/honey sandwich:

2 slices of bread

2 tbsp. peanut butter

2 tbsp. jelly or honey

1/2 cup canned peaches (drained)

4 oz. (1/2 cup) cranberry juice

Afternoon Snack

1/2 cup canned applesauce

Jelly beans (10)

Dinner

Salmon sandwich:

2 slices of bread

1/2 can (2 oz.) canned low sodium salmon

1-2 tbsp. mayonnaise

1/2 cup canned low sodium green beans drained

1/2 cup soft drink

Evening Snack

Vanilla wafers (5) or graham crackers (1 1/2 squares)

Marshmallows (10)

Your Independent Chicagoland Dialysis Provider

Circle Medical Management is an independent Medicare certified dialysis facility in Chicago. Our mission is to provide the highest quality of dialysis care with a focus on individualized treatment. We create treatment plans that ensure each patient has the best therapy for their specific medical conditions.

At Circle Medical Management we value integrity, compassion, teamwork, and responsibility. We are unique in the dialysis industry for our determination and success in remaining an independently owned and operated facility for nearly 30 years.

A few of the dialysis services Circle Medical Management offers include:

• In-center hemodialysis
• Home hemodialysis
• Home ambulatory peritoneal dialysis
• Home hemodialysis for residents of long term care facilities
• Inpatient dialysis services to Rush University Medical Center

If you have further questions about our dialysis services, or would like to book an appointment, contact us today!