Wrong Dialyzer

  1. 0 What the correct way to deal with wrong Dialyzer ?
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  3. Visit  uae808} profile page

    About uae808

    Joined Apr '11; Posts: 14.

    10 Comments so far...

  4. Visit  ICAN!} profile page
    0
    Check the doctors order before you set up the machine. Very easy to do in our clinic with chairside computers.
  5. Visit  traumaRUs} profile page
    0
    What do you mean wrong dialyzer?Is this a resuse situation?
  6. Visit  uae808} profile page
    0
    I mean used wrong Dialyzer for patient .
  7. Visit  traumaRUs} profile page
    1
    Ugh - bad news. Im gathering you are not in the US by your username? Do you check hepatitis status on everyone every month? Of course the source pt and recipient must be checked for hepatitis, HIV. Also, if either is transplant eligible, do they have CMV or anything else?
    Vegan_RN likes this.
  8. Visit  ausrnurse} profile page
    1
    If you are using new, sterile dialysers each dialysis, then a wrong dialyser would be a clinical incident, and a report would need to be filled out, however no harm would come to the patient, they would just have the one less than perfect run (excluding acute settings).

    If you are re-using dialysers, that's a whole different story, and I think traumaRus is more qualified to talk about it than me.
    Vegan_RN likes this.
  9. Visit  uae808} profile page
    0
    Quote from traumaRUs
    Ugh - bad news. Im gathering you are not in the US by your username? Do you check hepatitis status on everyone every month? Of course the source pt and recipient must be checked for hepatitis, HIV. Also, if either is transplant eligible, do they have CMV or anything else?
    My colleague commenced the wrong dialyzer to the patient , after a few minutes she found the mistake , both involved the patients are non-hep B , and not on the transplant list.

    Sent from my iPhone using allnurses.com
  10. Visit  zero.} profile page
    0
    Quote from uae808
    My colleague commenced the wrong dialyzer to the patient , after a few minutes she found the mistake , both involved the patients are non-hep B , and not on the transplant list.

    Sent from my iPhone using allnurses.com
    Is your dialysis unit on a RE-USE system, or you practice single use of dialyzers?
  11. Visit  uae808} profile page
    0
    Reused dialyzer .

    Sent from my iPhone using allnurses.com
  12. Visit  traumaRUs} profile page
    0
    What about hep C? HIV?
  13. Visit  madwife2002} profile page
    1
    You have to check both patients for all hep status and for HIV status. You have to inform the MD and the patients
    An incident report needs to be completed and you need to investigate why it happened.
    Are the staff not doing the correct checks for commencing dialysis?
    Use it as a learning experience

    I know I wouldnt be happy to have somebody elses dialyser but it happens unfortunately
    traumaRUs likes this.


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