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Discussion

Acute dialysate baths

I work in acute hemodialysis and one of the facilities that we contract with just underwent it's JCAHO survey....!#@*#,,,anyway. According to JCAHO...I hate to even type those letters.. the mixing of the acid bath is no longer allowed unless a specimen is sent to lab for analysis confirming the correct concentration i.e. 2K, 3K baths and so on. So we are now limited to only 2K and 3K baths that have been premixed by the manufacturer. Is this going on elsewhere? I work in Ohio....just interested what is happening elsewhere.

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I have not heard of this new recommendation, but I do know that there are various other K+ and Ca++ bath available for purchase including zero K+ through 4K+ and zero Ca++ for example. Just note that when one electrolyte is varied in the bath, usually all the other lytes in that same bath are adjusted also in cluding glucose. Let me know if this is coming nation wide!

I have not encountered this yet...we still mix acid baths to make 1meq for K if needed...what a very thorough JCAHO rep...

I have not heard of that yet. My facility recently underwent our survey and that did not come up. We have 0k and 2k baths. We mix our 1k and 4k.

Curious to see if this will be nationwide.

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