Renal Unit Procedures and Protocols

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Chapter 1 : Renal Unit Clinical Procedures

Section 1 : Hemodialysis

Blood Administration on Hemodialysis 12/2019
Dialysate Samples Post Cardiac Arrest 4/2020
Dialysis Quality Water Guideline (Chlorine testing, pH, Myron L, Minncare, Blood Leak) 4/2020
Hemodialysis and RO Cleaning (May 2020)
Hemodialysis Medication Administration Standard Work July 2020
Hepatitis B & Dialysis CPG 09/2022
Increasing Potassium or Calcium of HD Dialysate (December 2019)
Initiation/Discontinuation of HD with AVF/AVG (includes new AVF/AVG cannulation) (August 2020)
Initiation/Discontinuation of HD with catheter (August 2020)
Kt/V March 2019
Link to Emergant Accessing of Apheresis/ hemodialysis Catheter by non-renal Staff
Pre and Post dialysis BUN (December 2019)
Ultrafiltration Only/Sequential Dialysis Fresenius T (December 2019)

Section 2 : Pediatrics

Custom Prime for HD, CRRT and Apheresis (7/2019)
HD-Apheresis Access by Non-renal staff; IP (May 2020)
HD-Apheresis Access by Non-renal staff; Outpt (May 2020)
Mannitol Infusion 3/2019
Standard Work for HD with 6.35mm tubing on Fresenius T Machine

Section 3 : CRRT

CRRT in the OR CPG
CRRT in the OR SW March 2017
Heparin Anticoagulation in CRRT 8/2018
NxStage User Guide Links
Settings for CRRT OR lines (December 2019)

Section 4 : Apheresis

Bard Powerflow Access/De-access for Apheresis (10/2019)
Connecting Apheresis to ECMO (4/2020)
Plasmapheresis FFP Waste Reduction SW (10/2019)
Vortex Port Access/De-access for Apheresis (10/2019)

Section 5 : Staff Education Documents

Basic CRRT NxStage
Power Failure and Manual Blood Return Education (4/2020)
Using Streamline Airless System Set

Chapter 3 : Renal Unit Misc. Clinical Practice

Citrate Blocking Standard Work October 2018
COVID Renal Therapies Standard Work Link
Glucommander in the Renal Unit

Chapter 4 : Peritoneal Dialysis (PD) Manual: Adult Inpatient

1 : Introduction and Table of Contents
Chapter 1: Education-What is Peritoneal Dialysis?
Chapter 2: Supplies and Supply Ordering (with pictures)
Chapter 3: PD Exchange (drain and fill)
Chapter 4: Epic Documentation of PD
Chapter 5: PD Catheter Dressing Change
Chapter 6: Obtaining Samples from PD Effluent (cultures, etc.)
Chapter 7: Troubleshooting Tips
Chapter 8: Instillation of Medications into Dialysate
Chapter 9: Contamination of PD Catheter
Chapter 10: Adapting to the Fresenius Stay●Safe® system (For patients with Baxter equipment needing PD Exchange).
Chapter 11: Removing Adaptation to Fresenius Stay●Safe® System (For patients returning to Baxter equipment at discharge).
Chapter 12: Changing the Stay●Safe® Extension Tubing
Chapter 13: PD Drain Only (No Instillation of Dialysate)
Chapter 14: Perforated PD Catheter: PD Catheter Repair (Primary RN Role & Renal RN Role)
Chapter 15: Engaging Blue Pin in Stay●Safe® Cap (when not performing a PD Exchange)
Chapter 16: Peritoneal Lavage (“flushing” the peritoneum)
Chapter 17: Home Cycler Procedures
Chapter 18: Heparin Block or Flush (For Renal RN only)
Chapter 19: Unclogging a PD Catheter with Heparin (For Renal RN Only)
Chapter 20: Permanently Changing Patient’s PD Equipment Manufacturer (Baxter to Fresenius or Fresenius to Baxter)(For Renal RN Only)
Peritoneal Dialysis Fundamentals

Basic CRRT NxStage

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