My hospital does not offer CRRT in any of our ICUs. It isn't that large of a facility (?300 beds) but I thought this was more or less a modern standard of available care. We have traditional dialysis and aquapheresis, but no CRRT.
Do any of your hospitals not do it, and if so, how do you get away with it (other than being too small to do it, and it would be a ship-out sort of a deal?)