H.E.R.

Hey there HDRN.... glad u reached out... the wisest seek knowledge, absorb what's needed and throw away the rest. So do what u need w/ this. The Tablo was made for in home HD.. and I feel is great for those folks. The Acute setting absolutely requires a machine we, Acute Nephrology Nurses, can adjust QUICKLY as a response and medical need to ACUTE pt's quickly changing critical status, life sustaining medical needs. The Tablo does NOT have that ability. Onset has programmed the Tablo to safe-guard home HD pt's w/ dbl checking & "are you sure?" machine setting questions .. which just doesn't work in the ACUTE care setting when every second counts. Summarized: Tablo good for HOME HD pt..NOT medically (and could be) "every second counts" life threateningly dangerous in the ACUTE CARE setting. Oh and Tablo can spin a good sale! Stick with Braun OR Fresenius machines.. for the patient's.. isn't that who this is about? My opinion is from 35 yrs Acute Nephrology Nursing experience.. take it or not. Gooooo ACUTE NEPHROLOGY NURSES!! You're great..!!

Diablo.. did u find the answer to your question from back in Oct.. and more importantly was your son, ER RN, made aware? Tablo was designed for home Hemo Dialysis and designed to limit the manipulative ability of this machine for patient safety. Tablo HD machine limits the essential/ life saving rapid changing of machine settings ( by experienced Dialysis nurse/tech) that is absolutely needed in a hospital Acute hemodialysis setting to protect and literally save the life of a patient.. loved one, family member. I speak with 48 years of working with many different HD machines (& RO systems)and 34 years as in hospital/Acute nephrology RN (which includes hemo dialysis & peritoneal dialysis).. Hospital administrators DO have HD machine options that are safer for our patients and with less costs... try looking at these HD machine purchase costs and maintenance contracts: Fresenius, Brauns.. and very importantly SPEAK with people that "know". My expertise is always available.. with access to very knowledgeable people.

Yes Krissi..I agree.. I've worked with Fresenius machines and portable RO's. Give me a reliable machine that can meet the medical needs of a hospitalized ESRD pt over less noise anyday. Now to really address the core issue... Is the Acute Care management, ie: CEO'S, CFO's, Nursing Administrators, ETC REALLY aware of these issues.. and these Tablo HD machine issues can be and are a danger to the patient... which can be a legal (financial) liability to the institution. All it'll take is a knowledgeable pt and/or family member. Come on Administration "see" what we "know" and do the financially (for institution) and ethically right thing... tomorrow it might be one of any of our family members. Thanks Krissi and Duncan 6 for great input. H.E.R.

I also tried very hard to see the good in the Tablo... too many issues I could have corrected safely. Tablo was created to prevent "home" HD pt's from hurting themselves.. understandable, but doesn't work in the acute setting where good nephrology nursing skills saves lives !! Hope to see other nurses and techs opinions/input. This teaches us. What a great career...go nurses!

Response to Diabo,RN, Duncan6, K.M.Kelley &........I am a RN 34yrs in Acute HD PD, Chronic HD PD.. Started as PCT/pt.care tech in chronic HD setting back in 1975. Have used/operated many machines...and feel as your input was important, would like to voice mine. Tablo HD machines were created for "home HD". After using these HD machines in Acute setting for about a year, findings: 1-Tablo HD machine does offer quick set up w/ cartridge..BUT Tablo req'd pt.info input w/ ea change of pt., every step needing confirmation, hence: TIMELY 2-Inability to manipulate Tablo machine settings during Emergent HD Tx (w/ shut-downs, errors, etc) too timely for this true scenario; pt admit in CCU w/ serum potassium/K+ 9.. with all typical sx's..and cardiac arrest just itching to happen. Rapid response w/ quick Fresenius HD machine set up and pt. lived. 2-Tablo blood pump cartridge with recall in 2023, cartridge would not sit into pump roller properly...error after error after error..in ACUTE/CCU setting. 3-Unable to make rapidly needed Table HD machine change of settings based on pt.change of status...errors, shut downs....making this machine a possible danger. 4- Numerous occasions with tear down of Tablo HD machine, following prompts of pulling yellow lever to release blood tubing from roller pump...blood pump roller stopping jamming tubing resulting in torn tubing and bloody NS..cleanup..hence: time. 5- Outset Tablo maintenance rep's installed timed: heat and chem disenfects..does not work in Acute setting and interfers with HD machines use. YES I do understand hep status, mach.use,etc. Summary...Tablo HD machine not a safe machine for patient nor nursing staff in hospital based Acute settings... this nurses' experienced opinion. The Tablo HD machine may work very well for home use. Hocost effectiveness. pe this helps other nurses and/or administration with making the very critical decision on which HD machine to use in the Acute setting for patient and nurse safety and cost effectiveness. NOTE: Tablo HD machine repair and maintenance cost. Tablo can talk a real good deal..An experienced personnel for " hosp.Dialysis services" is required for safety and cost effectiveness.