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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  *revised*

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

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

30.10.05 Providing a bolus using the Fresenius 5008 ONLINEplus ™ System

30.10.06 Fresenius 5008 ISO Ultrafiltration (Sequential Therapy)

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 

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

30.10.13 Providing Hemodialysis without Heparinization

30.10.14 Intradialytic Blood Product Administration

30.10.14a How to Order Blood

30.10.14b Appendix B: Notification Card Sample

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

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

30.10.19 Changing Dialysate Concentrate During Hemodialysis Treatment 

30.10.20 Providing Heparin Bolus During Hemodialysis Treatment 

30.10.21 Manually Opening Arterial Pressure Measurement Unit

30.10.22 Emergency Reinfusion Procedure using the Fresenius 5008 

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

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

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

30.20.05a Statlock Application Procedure

30.20.06 AVF/AVG Vascular Access Assessment

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 *revised*

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

30.20.12 Use of BARD Dialysis Catheter Repair Kit

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

30.20.14 Use of the HEMOdialert™ device with hemodialysis

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

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

40.10.03 Installation of Medications into Peritoneal Dialysis Solution

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

40.10.04 Application of Locking Cap to Peritoneal Catheter

40.10.05 Peritoneal Catheter Flush

40.10.06 Peritoneal Exit Site Care *revised*

40.10.06a Physician Management of Exit Site Infection Algorithm 

40.10.06b Peritoneal Catheter Exit Site Care Resource

40.10.06c Peritoneal Dialysis Exit Site Images

40.10.07 Intraperitoneal tPA for Obstructed Peritoneal Dialysis Catheters

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)

40.10.09a Changing Program

40.10.09b Making adjustments

40.10.09c Nurses’ menu

40.10.09d Automated Peritoneal Dialysis Record (W-00354)

40.10.10 Peritoneal Catheter Irrigation

40.10.11 Silver Nitrate Application *revised*

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

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

40.10.14a Site Specific Requisitions for Peritonitis Investigation

40.10.14b Decision Tree for obtaining Peritoneal Effluent Sample

40.10.14c Sending PD effluent sample poster *revised*

40.10.15 Peritoneal Equilibration Test (PET) *revised*

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

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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