Renal: Management of haemodialysis patients with specific diseases requiring single room dialysis – Doc
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Guideline and
Procedure
Management of haemodialysis patient with specific diseases requiring
single room dialysis
Document Number:
Sites where Guideline and Procedure
applies:
All HNE facilities where a patient undergoes Haemodialysis
Target audience:
Nephrology clinical staff, who provide care to haemodialysis
patients.
This document comprises part of the clinical information
package for care of Haemodialysis patients.
Single Room, Haemodialysis
Description:
Keywords:
Replaces Existing Guideline and
Procedure:
Yes
Registration Number(s) and/or name and JHH Nephrology SWP N. 6.3
of Superseded Documents:
Relevant or related Documents, Australian Standards, Guidelines etc:
 NSW Health Policy Directive 2007_079 Correct patient, Correct procedure, correct site
http://www.health.nsw.gov.au/policies/pd/2007/pdf/PD2007_079.pdf
 NSW Health Policy PD 2005_406 Consent to Medical Treatment
http://www.health.nsw.gov.au/policies/PD/2005/pdf/PD2005_406.pdf
 NSW Health Policy Directive PD 2007_036 Infection Control Policy
http://www.health.nsw.gov.au/policies/pd/2007/pdf/PD2007_036.pdf
 NHMRC Guidelines for the Prevention and Control of Infection in Healthcare
http://www.nhmrc.gov.au/publications/synopses/cd33syn.htm
Prerequisites (if required):
Staff are to be aware of their immune status prior to caring for patients
requiring single room accommodation
Procedure Summary:
This Guideline and Procedure sets out the steps to be followed when
considering treatment placement for a haemodialysis patient. The
procedural components of the document such as, Preparation of patient,
Preparation of equipment, Technique, Cleaning up and Documentation are
considered mandatory.
Guideline Note :
This document reflects what is currently regarded as safe and appropriate
practice. However in any clinical situation there may be many factors that
cannot be covered by a single document and therefore does not replace
the need for the application of clinical judgment in respect to each
individual patient.
Date authorised:
Authorised by:
HNEAHS Renal Clinical Stream Leadership Group
Contact Person:
Contact Details:
Review due date:
TRIM Number:
Version No. 1
December 2010
Page 1 of 5
Renal: Management of haemodialysis patients with specific diseases requiring single room dialysis –
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OUTCOMES
1
To minimise the risk of nosocomial transmission of infectious diseases in the haemodialysis
environment
ABBREVIATIONS & GLOSSARY
MRO
Multi resistant organism
GUIDELINE
Patients who are clinically diagnosed with a transmissible disease requiring single room
accommodation are to be isolated from other haemodialysis patients for the duration specified in
the Infection Prevention Manual for Acute Care Facilities Hunter Health 2004 Section 4.
If single room accommodation isn’t available within a patient’s usual dialysis setting contact the
Dialysis Patient Flow Coordinator, Nurse Manager or Nursing Unit Manager to facilitate placement
in a unit with a single room. In the case of an MRO, placement can occur in pre designated areas
as per HNE Renal Stream Guideline and Procedure: Management of Blood Borne virus in
haemodialysis units. See table below for single room locations:
Unit
Single Room
Armidale Dialysis Unit
Inverell Dialysis Unit
John Hunter In-Centre Dialysis Unit
Maitland Dialysis Unit
Moree Dialysis Unit
Muswellbrook Dialysis Unit
Nita Reid Dialysis Unit
Singleton Dialysis Unit
Tamworth In-Centre Dialysis Unit
Taree In-Centre Dialysis Unit
Wansey Centre
Yes (1)
No
Yes (1)
No
No
No
No
No
Yes (1)
Yes (1)
Yes (2)
After dialysis, the room is to be triple cleaned with a neutral detergent, 0.1% sodium hypochlorite
then again with neutral detergent (Infection Prevention Manual for Acute Care Facilities Hunter
Health 2004 Section 7)
Staff should inform Infection Control and Prevention Unit of any patient requiring single room
accommodation for ongoing advice and management.
APPENDICES
Five Moments for Hand Hygiene
REFERENCES
Hand Hygiene Australia 2008: Five Moments for Hand Hygiene
Infection Prevention in Acute Care facilities Hunter Health 2004
National Health and Medical Research Council (NHMRC) 2010. Australian Guidelines for the
Prevention and Control of Infection in Healthcare.
NSW Health PD2007_036 Infection Control Policy
Version No. 1
December 2010
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Renal: Management of haemodialysis patients with specific diseases requiring single room dialysis –
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Appendix 1
Version No. 1
December 2010
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Renal: Management of haemodialysis patients with specific diseases requiring single room dialysis –
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Version No. 1
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Renal: Management of haemodialysis patients with specific diseases requiring single room dialysis –
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Appendix 2
Adopted from the World Health Organization and Hand Hygiene Australia.
Version No. 1
December 2010
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