Hemodialysis Case Study

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Hemodialysis is a complex treatment that is comprised of multiple clinical practice processes that must be adhered to at all times in order to ensure patient receives a safe treatment. Due to the complexity of the hemodialysis process, DaVita implemented a clinical practice guideline that centers upon evaluation and management of chronic kidney disease. DaVita Dialysis is a healthcare provider who specializes in Peritoneal, Acute Hemodialysis, Home Hemodialysis, and In-Center Hemodialysis. There are a host of policies and procedures that must be followed prior to the initiation, during, and at discontinuation of a hemodialysis treatment. Failure to follow these policies and procedure results in inappropriate management and evaluation of…show more content…
Infection control measures must followed if the patient has a central venous catheter. If there is a break infection control the patient is at a higher risk of contracting a blood stream infection. Heparin is to be drawn by the Registered Nurse, and can be administered by the Certified Hemodialysis Technician, which varies by state. Within this author’s region, Registered Nurses are solely responsible to prepare Heparin for administration. This change was implemented due to increase incident reporting related to Heparin administration. Afterward, the dialysis machine must be circulated, which further purifies the water, and then the patient is able to be connected to the hemodialysis lines. A licensed nurse must then assess the patient and the patient’s hemodialysis prescription prior to treatment…show more content…
Direct patient care teammates are comprised of the technicians and the nurses. Hemodialysis initiates a life style change (Bayhakki & Hatthakit, 2012). Many patients are diagnosed with End-Stage Renal Failure requiring dialysis with little to no knowledge or preparation. Therefore each clinical role must be equipped to educate each patient so that they will be able to make wise choices with positive
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