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Pertioneal Dialysis in the Hospital Setting

By Maria Locklear posted 03-27-2015 08:46

  

If you have a PD patient admitted to the hospital who completes the PD treatments?  Do you have an assigned team of nurses?  Is the patient and family responsible?

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10-20-2020 12:50

Our PD Unit is hospital based, so we are on site from 0830-1700 M-F. The PD RNs are responsible for the PD treatments for all inpatients. CAPD patients are converted to APD in the hospital setting so that they are available for any tests or procedures during the day. The PD RN makes AM and PM rounds to start and end the APD treatments, and to perform exit site care. The PD RNs are on standby and field any questions from the floor nurses after hours. The PD RNs also come in on weekends to continue care.

03-18-2017 17:12

We are a hospital based program, servicing acutes.  In our setting we have a hybrid approach.  The peritoneal dialysis nurses round on the patients daily.  They provide training to staff in all units where PD is performed.  Staff on these units have to complete hands on training and retraining every 6 months.  They conduct training for all new staff as well.  

The nurses on the units will provide the therapy with our PD nurses as back-up support.  The PD nurses are available to assist and after hours they are available via phone.

We service many different age and size ranges of children.  Many of our PD kids are in the NICU and can be complex.  However, our hybrid model is working very well for us!

05-20-2015 22:04

We have designated nurses . And floor. We do all the PD treatments

04-19-2015 15:06

Our acute dialysis on call RN is the one who takes care of the PD patients for the day and sets up their cycled. The nurses like that set up because if they are called in the middle of the night with an issue, they are already knowledgeable about the patient and their Cycler set up. The Nephrology floor nurses are trained for connect/disconnect, as for all other units, the PD nurse for the day or the patient or their family hook them up when they are ready.

04-18-2015 14:47

We do all the pd treatments on our floor. The icu nurses are able to do manual exchanges, however we are the only floor that does the cycler. If there are no beds on our unit we usually go and help out until there are discharges. I really think it would be beneficial for patients to do some of their own exchanges. We can see assess their technique and enable more self management may decrease depression. We have an acute care hemodialysis unit, but no-one assists with inpatient pd.

04-07-2015 08:57

In my area, either the hospital has PD outpatient services available similar to Barbara McKie's setup, or the hospital has a contract with Davita or Fresenius acutes to do in hospital PD. I don't believe a hospital can ask the patient/family to be responsible because of liability reasons. Also, the patient cannot be asked to bring their own supplies from home because those supplies have been billed and paid for to be used in the patient home.

03-28-2015 11:53

Our clinic office is located within the actual hospital. We are responsible for obtaining orders for the in patient and providing the PD treatments. Our hospital rents cyclers, we maintain enough supplies for in patient and out patient needs and deliver the set up cycler to the patient's room at the end of clinic our working day. The on-call nurse will troubleshoot any problems that may arise. The floor nurse is instructed to have the hospital operator page the PD nurse on-call. Hope that helps.