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Policies & Procedures

30.10.01 Use of Fresenius 5008 Delivery System using 0.9% NaCl *revised*

30.10.02 Fresenius 5008 Preparation for Hemodialysis using the ONLINEplus ™ System 

30.10.03 Initiation and termination of Treatment using the Fresenius 5008 ONLINEplus™ System  *revised*

30.10.04 Converting to 0.9% NaCl bolus or NaCl reinfusion using the Fresenius 5008 ONLINEplus ™ System *revised*

30.10.05 Providing a bolus using the Fresenius 5008 ONLINEplus ™ System *revised*

30.10.06 Fresenius 5008 ISO Ultrafiltration (Sequential Therapy) *revised*

30.10.07 Fresenius 5008 Air Detected Below the Venous Bubble Catcher

30.10.08 Fresenius 5008 Blood Leak Alarms; responding to

30.10.09 Changing the Extracorporeal circuit during hemodialysis treatment for the Fresenius 5008 delivery system

30.10.10 Fresenius 5008 Recirculation of Extracorporeal Circuit with Normal Saline and with Blood (0.9% NaCl set up)

30.10.11 ONLINE Circulation of Bloodlines with Substituate After Blood Reinfusion  *revised*

30.10.12 Single Needle (Click-Clack) Hemodialysis for Fresenius 5008 Dialysis Delivery System *revised*

30.10.13 Providing Hemodialysis without Heparinization *revised*

30.10.14 Intradialytic Blood Product Administration

30.10.14a How to Order Blood *revised*

30.10.14b Appendix B: Notification Card Sample *revised*

30.10.15 Calcium Chloride Additive for Hemodialysis Patients *revised*

30.10.16 Administration of Intradialytic Parenteral Nutrition to the Hemodialysis Patient

30.10.16a Intradialytic Parenternal Nutrition *revised*

30.10.18 Cleaning and Disinfection of the Fresenius 5008 Hemodialysis System; Internal Fluid Pathways and External Surfaces *revised*

30.10.19 Changing Dialysate Concentrate During Hemodialysis Treatment  *revised*

30.10.20 Providing Heparin Bolus During Hemodialysis Treatment  *revised*

30.10.21 Manually Opening Arterial Pressure Measurement Unit *revised*

30.10.22 Emergency Reinfusion Procedure using the Fresenius 5008  *revised*

30.10.23 Manual Reinfusion Procedure in the Event of Power Failure and Empty Battery/System Failure  *revised*

30.20.01 Venipuncture of Arteriovenous Fistula/Graft

30.20.02 Accessing and Locking Dialysis Central Venous Catheter (Anticoagulant/ Thrombolytic/Antibiotic Locking)

30.20.02a Anticoagulant/ Thrombolytic/Antibiotic Lock Solutions for Hemodialysis *new*

30.20.03 Establishing and Maintaining Buttonhole Venipuncture Sites

30.20.04 Use of Closed Needleless Access Device with Hemodialysis Central Venous Catheters (CVC)

30.20.05 Hemodialysis Central Venous Catheter Dressing and Care of Catheter *revised*

30.20.05a Statlock Application Procedure *revised*

30.20.06 AVF/AVG Vascular Access Assessment *revised*

30.20.07 Removal of Non-Tunneled Hemodialysis Central Venous Catheters

30.20.08 Alteplase for Clearing Hemodialysis Catheter Thrombosis using the Push (30 minute) Method

30.20.09 Alteplase IV Infusion for Clearing Hemodialysis Catheter Thrombosis

30.20.10 Alteplase for Hemodialysis Central Venous Catheter (Dwell procedure)

30.20.11 Local Centres:  Antibiotic Lock Preparation Procedures for Hemodialysis Central Venous Catheters

30.20.11a Anticoagulant/ Thrombolytic/Antibiotic Lock Solutions for Hemodialysis *new*

30.20.12 Use of BARD Dialysis Catheter Repair Kit *revised*

30.20.13 Use of Covidien™ Acute and Chronic Catheter Repair Kit: Palindrome™ Chronic Care and All Mahurkar™ Acute and Chronic Care Catheters *revised*

30.20.14 Use of the HEMOdialert™ device with hemodialysis *revised*

30.20.15 Obtaining Blood Specimens Pre and Post Hemodialysis

30.20.16 Collection of Blood Culture Specimen from a Hemodialysis Access

30.20.16a Blood Cultures for Hemodialysis *revised*

30.20.17 Obtaining Blood Sample for International Normalized Ratio (INR) from Central Venous Catheters

30.20.18 Accessing and Locking of Hemodialysis CVC by Non-Hemodialysis Personnel for Urgent Situations

30.20.18a Central Venous Catheter Tunneled (image)

30.20.18b Central Venous Catheter Non-Tunneled (image)

40.10.01 Attachment of Minicap Extended Life PD Transfer Set to Peritoneal Catheter

40.10.02 Changing Titanium Adapter in a Peritoneal Catheter *revised*

40.10.03 Installation of Medications into Peritoneal Dialysis Solution

40.10.03a Instillation of Medication into Peritoneal Dialysis Solution (IP Drugs Manual) *revised*

40.10.04 Application of Locking Cap to Peritoneal Catheter *revised*

40.10.05 Peritoneal Catheter Flush *revised*

40.10.06 Peritoneal Exit Site Care

40.10.06a Physician Management of Exit Site Infection Algorithm  *revised*

40.10.06b Peritoneal Catheter Exit Site Care Resource *revised*

40.10.06c Peritoneal Dialysis Exit Site Images *revised*

40.10.07 Intraperitoneal tPA for Obstructed Peritoneal Dialysis Catheters *revised*

40.10.08 Peritoneal Dialysis Bag Exchange Utilizing Twin Bag System

40.10.08a Continuous Ambulatory Peritoneal Dialysis Record (W-00353)

40.10.09 Home Choice Pro Cycler Set-Up: Initiation of Cycling and End of Treatment utilizing a luer lock cycler set (software version 10.4) *revised*

40.10.09a Changing Program *new*

40.10.09b Making adjustments *new*

40.10.09c Nurses’ menu *new*

40.10.09d Automated Peritoneal Dialysis Record (W-00354)

40.10.10 Peritoneal Catheter Irrigation *revised*

40.10.11 Silver Nitrate Application

40.10.12 Measuring Peritoneal Dialysis Adequacy:  KT/V Collection

40.10.12a Incremental PD Algorithm

40.10.13 Ascites drainage utilizing a Peritoneal Catheter *revised*

40.10.14 Collection of Peritoneal Dialysis Effluent from a Peritoneal Dialysis Drain/Sample for Peritonitis Investigation *revised*

40.10.14a Site Specific Requisitions for Peritonitis Investigation

40.10.14b Decision Tree for obtaining Peritoneal Effluent Sample *revised*

40.10.14c Sending PD effluent sample poster

40.10.15 Peritoneal Equilibration Test (PET)

40.10.15a PET (Peritoneal Equilibration Test) Collection Sheet W-00714

60.40.01 Fresenius 5008S flowsheet standard *under development*

60.40.01a Fresenius 5008S Treatment flowsheet (W-00866) *new*

60.40.02 Fresenius 5008s Treatment Record *under development*

60.40.02a Fresenius 5008S Treatment Record (W-00867) *new*

60.40.03 NxStage flowsheet *under development*

60.40.03a NxStage flowsheet (W-00868) *new*

60.40.04 NxStage Treatment Record *under development*

60.40.04a NxStage treatment record (W-00869) *new*

70.10.01 Human Leukocyte Antigen Antibody Testing Routine and Post Transfusion Protocol

70.10.02 Adult Patient Screening and Vaccination Protocol for Hepatitis B and Hepatitis C

70.10.02a Algorithm for Hepatitis B Vaccination and Monitoring in Susceptible Patients

70.10.02b Schedule for Routine Blood Testing for Hepatitis B and Hepatitis C Virus Infections

70.10.02c How to Switch a Patient from one product to the other

70.10.04 Protocol for the PERMANENT TRANSFER of Renal Patients between URBAN sites, units, and programs within the Manitoba Renal Program (MRP).

70.10.04a Permanent Transfer of Hemodialysis (HD) Patients to Another Winnipeg HD Site and Unit *revised*

70.10.04b Patient Transfer Letter

70.10.04c Manitoba Renal Program Transfer of Patients Between Dialysis Units and or Sites within the Manitoba Renal Program Checklist (#W-00226)

70.10.04d Permanent Transfer of Renal Patients to a Home Dialysis Unit *revised*

70.10.04e Appendix E : Permanent Transfer of Stage V Renal Health Patients to a Hemodialysis Unit *revised*

70.10.04f Staff Resources

70.10.06 Protocol for Temporary Transfer of Patients between Urban Hemodialysis Units within the Manitoba Renal Program

70.10.06a Checklist/Fax Cover Sheet for Temporary Patient Transfers due to Overcapacity

70.10.06b Algorithm: Temporary Hemodialysis Transfers due to Overcapacity

70.10.06c Overcapacity Directive

Disclaimer: The information and data in this document (“Information”) is based on scientific evidence current as of the date issued and is subject to change without notice. The Information should not be construed as dictating an exclusive course of treatment or procedure to be followed. Any person consulting or applying the Information is expected to use independent medical judgment and expertise in the context of individual clinical circumstances. Winnipeg Regional Health Authority and the Manitoba Renal Program make no representation or guarantees of any kind whatsoever regarding the content or use or application of the Information and specifically disclaim any responsibility for its application or use in any way.

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