I have a 5 bed acute hemodialysis unit. We have an acute rehab program in our hospital and we work closely with them to provide dialysis to the patients. It is a day to day battle juggling, PT, OT, Speech and a 4 hour dialysis treatment into the persons schedule. I feel rehab at this level is very important to the patients recovery, yet we do argue with PT and the other disciplines about when dialysis should be done. If we do dialysis before PT the patient is too tired after their TX to exercise so they want us to wait until after 5:00 PM to do dialysis. It got to be so much
of a struggle to work with them that I wanted to tell them that we would just not dialyze the patient for the 10 or 15 days they were in rehab and then they could see how productive that patient could be. Thankfully it didn’t come to that. We asked to have those patients on Tues. Thurs, and Sat. for their TX’s. Rehab schedules the patients to have light days on Tues. and Thurs and not much was being done on Sat. anyway. If we have lots of patients and can accommodate running the patients in the afternoon we will so that the therapies can use the AM. You should be able to work something our with the rehab floor that could work for all.