Haemodialysis Protocols

Adequacy

• Dialysis adequacy (WPI-2015)
• Kt/V sampling (WPI-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 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. CLIN294 (2018)
• Clotted lines and dialyser management (2013)
• Fragmin administration (2013)
• Heparin free dialysis CLIN460 (2019)
• Danaparoid Prescribing Protocol SESLHD/600 (2017) (Vascaths also follow vascath lock CLIN023 (2017))
• 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 during haemodialysis WPI179 (2018)
• Blood leak (2013)
• Cardiac Arrest on Haemodialysis (WPI-2016)
• Chest Pain During Dialysis (2013)
• Cramps CLIN386 (2020)
• Emergency Exit Process for 4West WPI031 (2018)
• Headache Management on Haemodialysis WPI034 (2018)
• Haemolysis WPI180 (2018)
• Hyperkalaemia CLIN176 (2023)
• Hypertensive urgency and Chronic hypertension on dialysis (2013)
• Hypotension Protocol CLIN565 (2019)
• Hypotension on Dialysis Flowchart – St George Hospital (2013)
• Hypotension on Dialysis Flowchart – Sutherland Satellite Unit (Dec 2010)
• Nausea and Vomiting WPI037 (2018)

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 (WPI-2015)

General

• Clinical

  • Acute Kidney Injury – Haemodialysis Treatments WPI028 (2018)
  • Administration of Blood Transfusion on Haemodialysis (2013)
  • Assessment prior to Haemodialysis WPI029 (2018)
  • Blood Glucose Levels during Haemodialysis WPI133 (2020)
  • Chronic kidney disease patients commencing dialysis (WPI-2015)
  • Connection to the machine 4008S WPI055 (2016)
  • Dialyser Membrane Prescription and Choosing Hemodiafiltration (HDF) WPI255(2019)
  • Diabetic patient requiring Haemodialysis WPI136 (2020)
  • Diasafe Filter Change for 4008S (WPI-2016)
  • Diasafe Filter Change for 5008S (WPI-2016)
  • Falls Prevention and Management – 4West Haemodialysis-WPI032 (Aug 2015)
  • Management of inpatient receiving HD CLIN153 (2019)
  • Hypoglycaemia on Haemodialysis and initiating a PACE (2013)
  • Haemodialysis- machine  4008s set up & prime (WPI-2016)
  • Haemodialysis-machine 5008S set up & prime (WPI-2016)
  • Medication Reconciliation for haemodialysis outpatients (WPI-2015)
  • Monitoring during Haemodialysis WPI036 (2018)
  • Pressure injury prevention (WPI-2015)
  • Recirculation on Haemodialysis (2013)
  • Post Haemodialysis Return of Blood and Disconnection-5008S (WPI-2016)

• Administration

  • Dialysis patient transfer form (2013)
  • Haemodialysis-Documentation guidelines WPI033 (2018)
  • Hamodialysis Outpatient Identification WPI187 (2018)
  • Medication Reconciliation for Haemodialysis Outpatients (WPI-2015)
  • On Call Haemodialysis Policy (2015)
  • Primary Nurse Programme WPI039 (2018)
  • Routine blood testing Protocol WPI135 (2020)
  • Routine HDx blood testing table (2016)

Infection

• Detection and Management of Hepatitis B, C and HIV patients (SGH-TSH BR 746) (2022)
• Management of patient with MRO in HDx unit WPI060 (2016)
• Haemodialysis zones WPI056 (2016)
• Bleach Use in Serology Positive Patients- 4008S (WPI-2016)

Special Procedures

• Intradialytic Parentral Nutrition (WPI-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 –WPI250 (2019)
  • 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 CLIN409 (2017)
  • Fistula- Recirculation Studies- WPI (May 2016)
  • Fistula- Recognition of the Failing Access  WPI249 (May 2019)
  • 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 WPI027 (May 2020)
  • Diastop use WPI173 (2018)
  • Administration of Lignocaine/ Lidocaine Hydrochloride for Haemodialysis in St George Hospital Department of Nephrology (SGH CLIN 351) (2019)

• Vascath

  • Actilyse use in Vascaths (May 2011)
  • Vascath- Taking Blood Specimens from a Vascath  (WPI-2016)
  • Vascath- Complications of Vascular Access for Haemodialysis –WPI (May 2016)
  • Vascath- Connecting a Patient with a Vascath to a Haemodialysis Machine – WPI232 (2019)
  • Vascath- Disconnecting to a Patient with a Vascath to a Haemodialysis Machine- WPI233 (2019)
  • Decontamination Protocol (2013)
  • Vascath Insertion and  Removal for Haemodialysis  CLIN310 (2018)
  • Vascath- Removal of Sutures and Wings from Tunnelled Cuffed Catheters- (WPI-2016)
  • Instillation of Anticoagulation / Antibiotic Lock into Vascath Post Dialysis CLIN 023 (2017)
  • Vascath- Taking Isolated Blood Cultures and Blood Cultures from a Vascath –WPI311 (2020)
  • Vascath- Troubleshooting Poor Blood Flow in Haemodialysis Vascaths- WPI553 (May 2019)
  • Vascath Exit  Site Management – WPI040 (2019)

Water Quality

• CWP Bypass procedure – TSH (2010)
• Daily Water Testing for chloride and chloramine WPI181 (2018)
• Central water plant layout StG (2016)
• Schedule for Hygiene and Maintenance (2013)
• Sutherland site Central water plant layout (2010)
• Water failure WPI054 (2016)
• Water Quality (2013)