Advertisment
Indian Journal of Nephrology About us |  Subscription |  e-Alerts  | Feedback | Login   
  Print this page Email this page   Small font sizeDefault font sizeIncrease font size
 Home | Current Issue | Archives| Ahead of print | Search |Instructions |  Editorial Board  

Users Online:734

Official publication of the Indian Society of Nephrology
  Search
 
  
 ~  Similar in PUBMED
 ~  Article in PDF (344 KB)
 ~  Citation Manager
 ~  Access Statistics
 ~  Reader Comments
 ~  Email Alert *
 ~  Add to My List *
* Registration required (free)  

 
   Article Tables

 Article Access Statistics
    Viewed63    
    Printed1    
    Emailed0    
    PDF Downloaded85    
    Comments [Add]    

Recommend this journal

 


 
  Table of Contents  
CHAPTER 22
Year : 2020  |  Volume : 30  |  Issue : 7  |  Page : 89-91
 

Record keeping, reporting and hemodialysis



Date of Web Publication15-Jul-2020

Correspondence Address:
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0971-4065.289826

Rights and Permissions



How to cite this article:
. Record keeping, reporting and hemodialysis. Indian J Nephrol 2020;30, Suppl S1:89-91

How to cite this URL:
. Record keeping, reporting and hemodialysis. Indian J Nephrol [serial online] 2020 [cited 2020 Aug 14];30, Suppl S1:89-91. Available from: http://www.indianjnephrol.org/text.asp?2020/30/7/89/289826




Record keeping in a dialysis unit involves many different facets and is important to ensure safe and appropriate delivery of dialysis to patients. This involves recording of each individual dialysis [Table 1], for an individual patient [Table 2], records of dialytic and medical care of the patient over the course of his treatments and the water quality and safety parameters for the whole unit [Table 3], [Table 4], [Table 5], [Table 6], [Table 7]. In addition, dialysis units should evaluate their performance to assess their current performance with a goal for continuous quality improvement [Table 8].
Table 1: Recording for each hemodialysis treatment

Click here to view
Table 2: Recording for each patient

Click here to view
Table 3: Water treatment monitoring log

Click here to view
Table 4: Water treatment monitoring log

Click here to view
Table 5: System performance data

Click here to view
Table 6: System performance data

Click here to view
Table 7: Performance indicators

Click here to view
Table 8: Recording for each dialysis unit

Click here to view


Dialysis units that are reusing dialyzers need to have additional monitoring and recording to ensure that patients are receiving good quality and safe dialysis [Table 9].
Table 9: Recording for reuse of dialyzers

Click here to view


Each dialysis:

  • We recommend recording initial weight, final weight, dry weight, dialyzer, station number, initial BP and final BP, number of hours of dialysis, access used, BFR, dialysis flow rate, dialysate composition used (Na, K, calcium, bicarbonate), conductivity, temperature, anticoagulation, any other medications administered.
  • We suggest recording BP during the treatment and UF rate.
  • We suggest for HDF recording replacement rate and total UF.
  • We SUGGEST recording online kT/V from machine for each treatment where available.


Each patient

  • We recommend HD consent for treatment at start of dialysis at that unit and then every 6 months.
  • We suggest recording monthly labs, vaccination history, home medications
  • We suggest Monthly assessments by physicians (nephrologists/dialysis physicians)
  • We suggest addressing and recording the following issues every month:


    • Adequacy
    • Vascular access
    • Anemia
    • Cardiac status
    • HTN and volume assessment
    • Possibility for transplant
    • Bone mineral disease
    • Functional status, occupation, activity
    • Medications
    • Quality of life.


Dialysis unit

  • We recommend recording all bacterial culture and endotoxin results done monthly, RO and membrane filter pressures. Dates and type of maintenance and dates of filter changes.
  • We suggest recording and including as part of an annual audit.
  • Mortality, cause of death
  • Anemia status (Hb, EPO doses, IV iron administered),
  • Bone mineral disease (calcium, phosphorus, iPTH, calcium bath prescribed and delivered, phosphate binders, cinacalcet).
  • Access (fistula, catheter, fevers on dialysis, bacteremia)
  • Adequacy (percentage with adequate dialysis and interventions for those not adequate)
  • Nutritional status (albumin)
  • Complications: Hypotension, fever, codes, admission to hospital, sentinel event (and its investigation)
  • CRBSI and rate.






 
 
    Tables

  [Table 1], [Table 2], [Table 3], [Table 4], [Table 5], [Table 6], [Table 7], [Table 8], [Table 9]



 

Top
Print this article  Email this article
 

    

Indian Journal of Nephrology
Published by Wolters Kluwer - Medknow
Online since 20th Sept '07