You can also refer to the St George Hospital website for the current versions of the Peritoneal Dialysis Clinical Business Rules and Workplace Instructions.  Any questions, please contact the St George Hospital Peritoneal Dialysis team ph 02 9113 3770 

Adequacy

• Kt/V and Creatinine Clearance SGH WPI 096 2017

• PET (Peritoneal Equilibration Test) SGH WPI 097 2017

After Hours 

• Contacts and After Hours Numbers 2019
• After Hours Management of PD patients SGSHHS CLIN 238  2018
• After hours Management of  Planned Simple PD procedure SGSHHS CLIN 452  2018

• Direct admission form - PDC Blocked 2017
• Direct admission form - PDC contamination 2017

• FLOWCHART - PDC contamination management on 4South 2017
• FLOWCHART - PDC - poor flow or no flow management 2017
• FLOWCHART - Planned-Simple PD Procedure Management 2017

Drug Additives used in Peritoneal Dialysis

• Actilyse for Peritonitis and Blocked Catheter SGH CLIN 379 2017
• Ampicillin 250mg  (2015)
• Bactrim (2015)
• Cefepime (2015)
• Ceftazidime 250mg  or  1g  (2015)
• Ceftriaxone (2015)
• Cephazolin 250mg or 1g (2015)
• Ciprofloxacin (2015)
• Compatibility and Stability of IP Additives (2016)
• Flucloxacillin 500mg (2015)
• Fluconazole (2015)
• Gentamicin 10mg  or 40mg  (2015)
• Heparin SGH CLIN 380 2017
• Intraperitoneal Additives and Antibiotic Administration SGH CLIN 443 2018
• Lignocaine SGH CLIN 415   2017
• Meropenem 200mg (2015)
• Potassium SGH CLIN 381 2017 
• Sodium Bicarbonate SGH CLIN 415   2017
• Vancomycin (2015)

General

• Commencement and Management of PD patients at Home SGH WPI 142 2017
• Iron management for PD patients SGH CLIN 365 2019
• Management of patients admitted for IPD SGH WPI 144 2017
• Management of PD Inpatient SGH CLIN 345 2019
• PD Troubleshooting Guide for PATIENTS
• PD Unit Referral Form 2015
• Preparation of PD patients for Invasive Procedures or Surgery SGH CLIN 396 2017
• Routine Bloods for PD patients 2017
• Transition from PD SGH WPI 095 2017
• Unwell PD patient management SGH WPI 138 2017

Nurse Education

• PDC Exit Site Dressing Assessment for Nurses 2017
• PDC Extension Set and Titanium Connector Change Assessment for Nurses 2017
• CAPD Freeline Solo Exchange Assessment for Nurses 2019
• APD Claria Connection & Disconnection Assessment for Nurses 2019
• Intraperitoneal Additive Loading and Administration Assessment for Nurses 2017

PD Access

• Acute PD  (Break-in management of new PD Catheter) SGH WPI 141 2017
• Changing Extension Set SGH WPI 093 2017
• Changing titanium connector SGH WPI 094 2017
• Contamination of PD Catheter or Extension set SGH CLIN 357 2019
• Exit Site Care - Post Op SGH CLIN 414   2017
• Exit Site Care - Regular Daily Dressing SGH CLIN 402 2017
• Management of Poor Flow - No Flow Catheter SGH CLIN 538 2019
• Managing a patient for PD Catheter insertion in OT (2010)
• PD Catheter Flush - 1 litre SGH WPI 053 2016
• PD Catheter Flush - Post insertion SGH WPI 147   2017
• PD Catheter Flush - Simple or Small SGH WPI 137 2017
• PD Catheter - Heparin Lock SGH CLIN 364 2019
• PD Catheter Insertion under local anaesthetic 2018

       For Patients

• Patient Guide to Daily Exit Site Dressing 2017  

PD Connection 

         For Patients

• APD: Homechoice step by step guide for PATIENTS 
• APD: Homechoice step by step guide for RELATIVES
• APD: Disconnection with Opticap for PATIENTS
• APD: Disconnection with Opticap for RELATIVES
• APD: Manual Drain at "End of Therapy" for PATIENTS
• CAPD: Freeline Solo connection guide for PATIENTS 
• Manual Drain with Drain Bag (for PATIENTS)

         For Nurses

• APD: Claria Connection & Disconnection for NURSES SGH WPI 216 2019
• CAPD: Freeline Solo Exchange for NURSES SGH WPI 217 2019
• APD: Claria Disconnection with Opticap for NURSES SGH WPI 218 2019
• Manual Drain with Drain Bag (for NURSES) SGH WPI 143  2017

Peritonitis and Exit Site Infection 

• Exit Site and Tunnel Infection Management and Treatment SGH CLIN 433  2017
• Nasal Swab and Mupirocin SGH CLIN 434  2018
• Peritonitis Management and Treatment SGH CLIN 442 2018
• PD fluid specimen collection via APD SGH WPI 146 2017
• PD fluid specimen collection via CAPD SGH WPI 145 2017

International Society of Peritoneal Dialysis (ISPD) Guidelines

• Catheter Related Infection Recommendations 2017
• Cardiovascular and Metabolic Guidelines Part 1 2015
• Cardiovascular and Metabolic Guidelines Part 2 2015
• Peritonitis Prevention and Treatment Recommendations 2016
• PD Training Syllabus 2016

https://stgrenal.org.au/Adequacy

• Dialysis adequacy (2015)
• Kt/V sampling (2015)

Anaemia

• Iron Management
  • Anaemia protocol (2013)
  • EPO Therapy (2013)
  • Iron Form (2013)
  • Iron Management for patients from Sutherland Dialysis Unit (2013)
  • Iron replacement flow chart ( 2013)
  • Iron Supplementation in CKD and Peritoneal Dialysis Patients (2013)
  • Iron Supplementation for Home Haemodialysis Patients (2013)
  • Monitoring Iron Status and Iron Supplementation (2013)
  • Monitoring Iron Status Post Intravenous Infusion (2013)
  • Recommended Dosing Schedules for Iron Supplementation (2013)

 Anticoagulants

• Heparin for Haemodialysis in St George Department of Nephrology - Administration of. SGSHHS CLIN294 (2015)
• Anticoagulation in Haemodialysis (2016)
• Clotted lines and dialyser management (2013)
• Fragmin administration (2013)
• Heparin free dialysis (2015)
• Danaparoid Prescribing Protocol SESLHD/600 (2017) (NEW) (Vascaths also follow vascath lock CLIN023)
• Pre & Post operative management of Haemodialysis patient (2007)
• Protamine (2013)
• Warfarin and other Anticoagulants on Haemodialysis (2013)
• Warfarin Flow Sheet for Haemodialysis (2014)

Complications

• Air Embolism (2013)
• Blood leak (2013)
• Cardiac Arrest on Haemodialysis (2016)
• Chest Pain During Dialysis (2013)
• Cramps (2013)
• Emergency Exit Process for 4West (2015)
• Headache Management on Haemodialysis (2015)
• Haemolysis (2015)
• Hyperkalaemia (2015)
• Hypertensive urgency and Chronic hypertension on dialysis (2013)
• Hypotension on Dialysis Flowchart - St George Hospital (2013)
• Hypotension on Dialysis Flowchart - Sutherland Satellite Unit (Dec 2010)
• Hypotension Protocol (2013)
• Nausea and Vomiting (2015)

Electrolytes

• Guidelines for adding Potassium to Dialysate (2016)
• Management of calcium, magnesium, phosphate and PTH in haemodialysis patients (2015)

Fluid Management

• Blood Volume Sensor (BVS) monitoring (2013)
• Blood Volume Sensor (BVS) Monitoring (flow chart) (2013)
• BVS Monitoring - Think about outcomes (flow chart) (2013)
• Fluid assessment by RNs on 4W (2012)
• Fluid Management Guidelines (2015)

General

• Clinical
  • Acute Kidney Injury - Haemodialysis Treatments (2015)
  • Administration of Blood Transfusion on Haemodialysis (2013)
  • Assessment prior to Haemodialysis (2015)
  • Blood Glucose Levels during Haemodialysis (2013)
  • Chronic kidney disease patients commencing dialysis (2015)
  • Haemodialysis -Connection to the machine (2015)
  • Dialyser Membrane Prescription and Choosing Hemodiafiltration (HDF) (2011)
  • Diabetic patient requiring Haemodialysis (2013)
  • Diasafe Filter Change for 4008S (2016)
  • Diasafe Filter Change for 5008S (2016)
  • Falls Prevention and Management - 4West Haemodialysis-WPI (Aug 2015)
  • Haemodialysis Patient Management (2013) 
  • Hypoglycaemia on Haemodialysis and initiating a PACE (2013)
  • Haemodialysis- machine  4008s set up & prime (2016)
  • Haemodialysis-machine 5008S set up & prime (2016)
  • Medication Reconciliation for haemodialysis outpatients (2015)
  • Monitoring during Haemodialysis (2015)
  • Pressure injury prevention (2015)
  • Recirculation on Haemodialysis (2013)
  • Post Haemodialysis Return of Blood and Disconnection-5008S (2016)
• Administration
  • Dialysis patient transfer form (2013)
  • Haemodialysis-Documentation guidelines (2015)
  • Haemodialysis- Management of the inpatient receiving haemodialysis (2016) (SGH CLIN 153)
  • Hamodialysis Outpatient Identification (2015)
  • Medication Reconciliation for Haemodialysis Outpatients (2015)
  • On Call Haemodialysis Policy (2013)
  • Primary Nurse Programme (2015)
  • Routine blood testing Protocol (2014)
  • Routine HDx blood testing table (2016)

Infection

• Detection and Management of Hepatitis B, C and HIV patients (SESLHDPR/226)
• Management of patient with MRO in HDx unit (2012)
• Haemodialysis zones (2013)
• Bleach Use in Serology Positive Patients- 4008S (2016)

Special Procedures

• Intradialytic Parentral Nutrition (2015)
• Myeloma High Cut Off Dialysis (2013)
• Pregnancy and Haemodialysis (2013)

Sutherland Satellite

• Presenting unwell Satellite patients (2011)

Vascular Access

• AV Fistula
  • Fistula- Cannulation Procedure -WPI (May 2016)
  • Fistula- Choice of Access- WPI (May 2016)
  • Fistula- Dvelopment of Buttonhole Cannulation- WPI ( May 2016)
  • Care of the patient admitted for the creation of an AV fistula (2017)
  • Fistula- Pre and Post operative Management (2017)
  • Fistula- Recirculation Studies- WPI (May 2016)
  • Fistula- Recognition of the Failing Access- WPI (May 2016)
  • Haemodialysis-Vascular Access-Fistula Management of an Infected Arterio-Venous Fistula or Graft- WPI (May 2016)
  • Haemodialysis- Vascular Access- Fistula Management of a Thrombosed Arterio-Venous Fistula or Graft- WPI ( May 2016)
  • Diastop use (2013)
  • Administration of Lignocaine/ Lidocaine Hydrochloride for Haemodialysis in St George Hospital Department of Nephrology (2016)(SGH CLIN 344)
• Vascath
  • Actilyse use in Vascaths (May 2011)
  • Vascath- Taking Blood Specimens from a Vascath - WPI ( May 2016)
  • Vascath- Complications of Vascular Access for Haemodialysis -WPI (May 2016)
  • Vascath- Connecting a Patient with a Vascath to a Haemodialysis Machine - WPI (May 2016)
  • Vascath- Disconnecting to a Patient with a Vascath to a Haemodialysis Machine- WPI (May 2016)
  • Decontamination Protocol (2013)
  • Vascath Insertion and  Removal for Haemodialysis (2015) (SGSHHS CLIN310)
  • Vascath- Removal of Sutures and Wings from Tunnelled Cuffed Catheters- WPI (May 2016)
  • Instillation of Anticoagulation / Antibiotic Lock into Vascath Post Dialysis (2017) (SGSHHS CLIN 023) 
  • Vascath- Taking Isolated Blood Cultures and Blood Cultures from a Vascath -WPI (May 2016)
  • Vascath- Troubleshooting Poor Blood Flow in Haemodialysis Vascaths- WPI (May 2016)
  • Vascath Exit  Site Management - WPI ( Jul 2015)

Water Quality

• CWP Bypass procedure - TSH (2010)
• Daily Water Testing for chloride and chloramine (2015)
• Central water plant layout StG (2016)
• Schedule for Hygiene and Maintenance (2013)
• Sutherland site Central water plant layout (2010)
• Water failure (2012)
• Water Quality (2013)

• Bottomline and What other guidelines say (2011)
• Hospital Admission of Home Haemodialysis patients (2011)
• Nocturnal Haemodialysis (2011)
• Training Procedure (2011)
• Caring for a Home Haemodialysis patient (2011)
• Selection Criteria (2011)
• Supplementary Information (2011)