Hemodialysis and CAPD (main - KAMC)

A Dialysis Centre is a clinical establishment that provides the treatment of patients with renal failure. Treatment procedures require professional supervision by staff experienced in renal pathophysiology.

The Dialysis Centre may serve either or both inpatients and outpatients, depending upon the medical facility type. It may provide self-dialysis training and care for Peritoneal Dialysis in addition to hemodialysis.

The Dialysis Centre administers both single-patient and multi-patient Hemodialysis systems. Dialysis is a type of renal replacement therapy used to provide an artificial replacement for lost kidney functions.

There are two primary forms of dialysis, Hemodialysis, and Peritoneal Dialysis, both life support treatments, but dialysis does not treat kidney diseases. Dialysis may be used for patients who have recently lost kidney functions (acute renal failure) or for patients who have permanently lost kidney functions (chronic or end-stage renal failure).

Scope of Service

Unit Name: Hemodialysis

Unit Description: Hemodialysis (main KAMC)

Patient Population: Adult (Mixed Gender)

Hours of Operation:

07:00 -19:30 Hours, 19:00- 07:30 Hours (4 dialysis shifts per day/24 hours service); Fridays emergency inpatient dialysis.

No of Beds:

40 adult dialysis stations (including 2 isolation rooms) for outpatient dialysis, 45-60 dialysis sessions/ day for inpatient.

Occupancy Rate:

98% of currently averaging 4,300 dialysis sessions per month.

Staff Categories:

Nurse Supervisor, Clinical Nurse Specialist, Registered Nurse, Patient Care Technician, Unit Assistant.

Primary Diagnosis:

Care of patients with chronic and acute renal failure associated with diabetes, vascular, hypertensions and cardiac problems, Outpatient Hemodialysis management.

Primary Procedures:

Bicarbonate Hemodialysis, Online Hemo-diafiltration, Isolated Ultrafiltration, Slow Low Efficiency Dialysis (SLED), Emergency and Inpatient Dialysis, Cannulation Arterio-Venous Fistula /Grafts to perform Hemodialysis, Dialysis Adequacy Management-URR and KT/V management, Recirculation Studies, Portable RO water sampling / Dialysate sampling, Anemia Management , IV Medication, Blood and Blood Product Transfusion, Glucose Monitoring, Care and management of Vascular Access, Vaccination, HAPI.

Model of Nursing Care:

Total Patient Care Utilizing a Partnership Model.