Water Treatment for Hemodialysis: What You Must Know to Keep Patients Safe.
作者信息
Payne Glenda M, Curtis Jim
机构信息
Cofounder and Principal of the National Dialysis Accreditation Commission and a member of the Association for the Advancement of Medical Instrumentation (AAMI) Renal Disease and Detoxification Committee.
She previously worked as a State and Federal surveyor for thirty years, served as a primary author of the Texas End Stage Renal Disease (ESRD) Licensing Rules and the Federal ESRD Interpretive Guidance, and member of the core faculty for surveyor training and tool development from 1989-2011.
出版信息
Nephrol Nurs J. 2018 Mar-Apr;45(2):141-168.
It is critical for all staff members to work together to keep patients safe. Nephrology nurses with responsibility for hemodialysis (HD) need to know and understand the clinical ramifications of water treatment and dialysate preparation. Although some HD programs may have full-time technical staff who operate and test the water treatment and dialysate preparation systems, many programs rely on nursing staff members for the dayto- day operation and testing of these systems. This article details the reasons safe water and dialysate are critical for patients on HD; and reviews components of water treatment systems, dialysate concentrate preparation, and the monitoring and testing necessary to assure that both water and dialysate are safe for patient use. Integrated HD systems (i.e., those that combine water treatment and dialysate preparation and delivery in an individual machine "package") are also described.
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