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Discussion

Wrong Dialyzer

What the correct way to deal with wrong Dialyzer ?

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    • Featured Replies

    Check the doctors order before you set up the machine. Very easy to do in our clinic with chairside computers.

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    • Experts

    What do you mean wrong dialyzer?Is this a resuse situation?

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    • Author

    I mean used wrong Dialyzer for patient .

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    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?

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    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.

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    • Author
    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

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    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?

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    • Author

    Reused dialyzer .

    Sent from my iPhone using allnurses.com

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    • Experts

    What about hep C? HIV?

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    • Experts

    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

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