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

Record keeping, reporting and hemodialysis

Date of Web Publication15-Jul-2020

Correspondence Address:
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0971-4065.289826

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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 Dec 1];30, Suppl S1:89-91. Available from:

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

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Table 2: Recording for each patient

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Table 3: Water treatment monitoring log

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Table 4: Water treatment monitoring log

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Table 5: System performance data

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Table 6: System performance data

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Table 7: Performance indicators

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Table 8: Recording for each dialysis unit

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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

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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.


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


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