I need feedback from dialysis nurses.

[drsrn]

The medical director of our dialysis center accepted a new pt last week who requires much care from our staff. This pt is unresponsive, quadraplegic, hx cva, brain damage, trach (need sx several times on tx), sacral decub with wound drain, and often has bm on hd, tx time 4 1/2 hrs. It takes at least 3 staff members to clean and change pt when this occurs, which leaves only 1 staff member to monitor the others pts on tx. I am curious as to how other dialysis facilities handle pts and situations such as this. Thanks.

[donroberto]

That patient should not have been accepted into your unit. Needs to be in an environment where dialysis is provided (Re-hab or nursing home).

[tizmonster]

The medical director of our dialysis center accepted a new pt last week who requires much care from our staff. This pt is unresponsive, quadraplegic, hx cva, brain damage, trach (need sx several times on tx), sacral decub with wound drain, and often has bm on hd, tx time 4 1/2 hrs. It takes at least 3 staff members to clean and change pt when this occurs, which leaves only 1 staff member to monitor the others pts on tx. I am curious as to how other dialysis facilities handle pts and situations such as this. Thanks.

Sounds to me like this patient would be best served in a sub-acute setting? Any chances you have such a scenario there. These are ususally in a nursing home facility, and if patient needs dialysis - the healthcare provider brings the treatment to the patient.