Bardón Otero E, Marti I Monros A, Vila Paz M L
Hospital de La Princesa, Madrid.
Nefrologia. 2008;28 Suppl 3:53-6.
ACKD units should be equipped with a nephrology nurse, who to carry out his/her function adequately and contribute to the objectives of the ACKD unit should have the following: - Specific training as a nephrology nurse. - Own work area and appointments schedule. - Full-time commitment to nephrology. - A direct phone line to be able to contact patients and vice versa. - Well-established communication channels between nursing staff and nephrologists. Objectives of the nephrology nursing unit: - Patients treated in this unit have a CrCl < or >or= 30 ml/min. - Foster self-care and patient autonomy. - Preserve GFR as long as possible by delaying progression of the disease. - Optimize patient quality of life in the pre-KRT period. - Reduce comorbidity. - Support patient in the decision on KRT. - Coordinate planning of vascular access and/or peritoneal catheter. - Schedule entry into chosen kidney replacement therapy, preventing complications and use of temporary accesses. - The nurse of this unit should be trained in clinical interviewing techniques.
慢性肾脏病（ACKD）科室应配备一名肾脏病专科护士，该护士要充分履行其职责并为ACKD科室的目标做出贡献，应具备以下条件：
接受过肾脏病专科护士的专业培训。
拥有自己的工作区域和预约时间表。
全职从事肾脏病护理工作。
设有直接的电话线以便能够联系患者，反之亦然。
护理人员与肾脏病专家之间建立良好的沟通渠道。
在该科室接受治疗的患者的肌酐清除率（CrCl）<或>或= 30 ml/分钟。
促进自我护理和患者自主性。
通过延缓疾病进展尽可能长时间地保留肾小球滤过率（GFR）。
在开始肾脏替代治疗（KRT）前优化患者生活质量。
减少合并症。
在患者决定是否进行KRT时提供支持。
协调血管通路和/或腹膜导管的规划。
安排进入选定的肾脏替代治疗，预防并发症并避免使用临时通路。
该科室的护士应接受临床访谈技巧方面的培训。
