Hemodialysis

Download: Hemodialysis


Contents

Preface

  • Purpose of Clinical Practice Parameters
  • Role of the College of Physicians and Surgeons
  • Responsibilities of the College
  • Updating this Document
 

Volume 1 Facility Standards

Chapter 1 Introduction

  • 1.1 Overview
 

Chapter 2 Staffing a Facility

  • 2.1 Overview
  • 2.2 Qualifications of Physicians providing Hemodialysis services
    • 2.2.1 Duties and Responsibilities of Physicians providing Hemodialysis Services
  • 2.3 Medical Director
    • 2.3.1 Duties and Responsibilities
  • 2.4 Quality Advisor
    • 2.4.1 Role of the Quality Advisor
    • 2.4.2 Duties and Responsibilities of a Quality Advisor
  • 2.5 Medical Lead(s) for IHFs licensed by the MOHLTC for more than one service
  • 2.6 Unit Manager
    • 2.6.1 Duties and Responsibilities
  • 2.7 Registered Nurse (RN)
    • 2.7.1 Duties and Responsibilities
  • 2.8 Registered Practical Nurse (RPN)
    • 2.8.1 Duties and Responsibilities
  • 2.9 Administrative Support Personnel
  • 2.10 Hemodialysis Technologist
    • 2.10.1 Duties and Responsibilities
  • 2.11 Hemodialysis Aide
    • 2.11.1 Duties and Responsibilities
  • 2.12 Dietitian
    • 2.12.1 Duties and Responsibilities
  • 2.13 Pharmacist
    • 2.13.1 Duties and Responsibilities
  • 2.14 Social Worker
    • 2.14.1 Duties and Responsibilities
 

Chapter 3 Facilities, Equipment and Supplies

  • 3.1 Overview
  • 3.2 Facilities, Equipment and Supplies
    • 3.2.1 Infection Prevention and Control
    • 3.2.2 Nursing Station
    • 3.2.3 Hemodialysis Machines
    • 3.2.4 All Ancillary Equipment
    • 3.2.5 Hemodialysis Treatment Area
    • 3.2.6 Eye Wash Stations
    • 3.2.7 Additional Space Requirements
    • 3.2.8 Electrical Supply
    • 3.2.9 Building and Fire Codes
    • 3.2.10 Water Quality
    • 3.2.11 Additional Services/Supplies
  • 3.3 Aging Equipment
 

Chapter 4 Policies and Procedures

  • 4.1 Overview
  • 4.2 Developing Policies and Procedures
    • 4.2.1 Facility
    • 4.2.2 Facility Staff
    • 4.2.3 General Procedures
    • 4.2.4 Hemodialysis Services
    • 4.2.5 Regional Renal Programs
    • 4.2.6 Records and Communication/Reporting & Privacy Principles
    • 4.2.7 Medication Storage and Handling Policies
    • 4.2.8 Equipment Maintenance
    • 4.2.9 Emergency Procedures and Safety Policies
    • 4.2.10 Quality Management (See Chapter 6)
    • 4.2.11 Infection Prevention and Control
    • 4.2.12 Personal Protective Equipment
    • 4.2.13 Disposal of Sharps
 

Chapter 5 Procedure Standards

  • 5.1 Overview
  • 5.2 Pre and Post-Hemodialysis Assessment
  • 5.3 During Hemodialysis
 

Chapter 6 Quality Management

  • 6.1 Overview
  • 6.2 Quality Management Program Goals
  • 6.3 Providing Quality Care
  • 6.4 Components of a Quality Management Program
  • 6.5 Monitoring the Program
 

Volume 2 Clinical Practice Parameters

Chapter 7 Analyzing Patient Outcomes

  • 7.1 Overview
  • 7.2 Patient Outcome Measures
    • 7.2.1 Anemia
    • 7.2.2 Infection
    • 7.2.3 Blood Pressure Control
    • 7.2.4 Patient Nutrition
  • 7.3 Adequacy of Hemodialysis
    • 7.3.1 Mineral Metabolism
  • 7.4 Analyzing Treatment Options
    • 7.4.1 Kidney Transplantation
    • 7.4.2 Home Hemodialysis
  • 7.5 Analyzing Aggregate Patient Outcomes
 

Appendices

Appendix I Independent Health Facilities Act - Ontario Regulation 57/92

  • Quality Advisor and Advisory Committee
  • Standards
  • Records of Employees
  • Patient Records
  • Books and Accounts
  • Notices
  • Miscellaneous
 

Appendix II Infection Prevention and Control (IPAC) Position Statement on Medical Gels – December 2017

Appendix III  Sample Patient Satisfaction Surveys