One Day medical (dialysis)
HOW DO YOU PREPARE FOR A DIALYSIS SESSION?
For optimum conduct of dialysis, we request that patients wear the same type of clothes for each session. This enables us to calculate the amount of fluid removal the patient will have to undergo more accurately. Likewise, the clothes must be adapted to each patient's vascular access:
- Arterio-venous fistula (AVF): wear a top with sleeves that can be easily rolled up without cutting off your blood flow.
- Jugular dialysis catheter: wear a top with easy access for the catheter (shirt, tank top, etc.). In any case, a top that opens in the front.
For patients with an AV fistula, we invite you to wash your arm thoroughly with soap prior to your dialysis session.
Likewise, when an unusual event occurs at home, it is imperative that you notify the department staff (e.g. fall, bleeding fistula, etc.).
WHAT DO YOU NEED TO BRING?
During the initial dialysis sessions, you will be given a log book. This will enable you to have a written record of the questions you wish to ask us and the information we (doctors and nurses) wish to give you. It allows for optimum communication between your home (nurses, support staff, family) and the dialysis department.
Moreover, if you are a holidaymaker, you must complete and submit the medical file for which you will find the link here.
HOW IS THE SESSION CONDUCTED?
The patient who arrives at the dialysis department of Europe Hospitals will first and foremost be directed to the waiting room until the nurse who will conduct his session comes to welcome him. Our policy is to treat the department's oldest patients first, so that we can then take the time to set up the new patients.
The dialysis session always starts with a weight check. Then, the patient will be comfortably settled, with the nurse's or the nursing assistant's help, in the armchair attributed to him.
Then, checking the vital signs is indispensable: blood pressure, pulse and calculating fluid removal. The nurse then configures the dialysis machine with the parameters prescribed by the doctor and connects the patient to it according to the available vascular access (arterio-venous fistula or dialysis catheter).
After connecting the various patients, and as quickly as possible, each nurse verifies the proper start up of the dialysis for the other patients, allowing for a second verification and therefore enhanced safety.
At regular intervals, your nurse will check your vital signs as well as the parameters of the dialysis machine. He/she will administer the medications prescribed by the doctors.
After 4 hours of dialysis, you will be disconnected from the machine and we will check your vital signs again (blood pressure and weight). You may then enjoy the hot meals and sandwiches ordered from our dietitian before returning home if you come in the morning or prior to dialysis if you come in the afternoon.
HOW CAN YOU SPEND THE TIME?
During the 4 hours of dialysis, you may entertain yourself in different ways. We offer touchscreen IPads with headphones provided. You may therefore listen to music, play games, watch films, videos, the news, etc. You are of course welcome to bring your own entertainment: magazines, knitwear (except for AVFs), etc. It is important that each patient's activities not hamper the optimal conduct of the session for himself/herself or for the other patients.
Moreover, we serve two snacks during the dialysis session. You can have coffee, tea or water as well as waffles, cakes, rusks and biscuits.
Source: Team One Day medical (dialysis) - Last update: 10/02/2020