CLINICAL PRACTICE GUIDELINES Bacaan Penuh ( bersaiz 7.2 MB)
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N e p h ro l og y S e r v i c e s O p e ra t i o n a l Po l i c y
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A P P E N D I C E S
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Head of DepartmentUnit of
Nephrology
Consultant Nephrologist
Clinical Specialist Dialysis Manager
Medical Oicer Staf Nurse
Assistant Medical Oicer
Attendant APPENDIX 1
HAEMODIALYSIS UNIT ORGANISATIONAL CHART AT HOSPITAL WITH RESIDENT NEPHROLOGIST
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State Nephrologist Designated
Nephrologist
Clinical Specialist
Dialysis Manager Medical Oicer
Staf Nurse Assistant Medical
Oicer
Attendant APPENDIX 2
HAEMODIALYSIS ORGANISATIONAL CHART AT SPECIALIST HOSPITAL WITHOUT RESIDENT NEPHROLOGIST
Head of Medical Department
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APPENDIX 3
HAEMODIALYSIS ORGANISATIONAL CHART AT HOSPITAL WITHOUT SPECIALISTS
State Nephrologist Designated
Nephrologist
Dialysis Manager Medical Oicer
Staf Nurse Assistant Medical
Oicer
Attendant Hospital
Director
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APPENDIX 4
NEPHROLOGY WARDCLINIC ORGANISATIONAL CHART AT HOSPITAL WITH RESIDENT NEPHROLOGIST
Sister Consultant
Nephrologist
Staf Nurse
Attendant Clinical Specialist
Medical Oicer
where nephrology wards are available
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APPENDIX 5
ORGANISATIONAL CHART OF THE NEPHROLOGY MANAGEMENT COMMITTEE AT NATIONAL LEVEL
National Advisor for Nephrology Services MOH
Planning Development
Committee Technical
Evaluation Committee
Human Resource Committee
Technical Speciications
Committee Ethics Clinical
Governance Committee
Nephrology Training
Committee
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APPENDIX 6
ORGANISATIONAL CHART OF THE NEPHROLOGY CLINICAL COMMITTEE AT NATIONAL LEVEL
National Advisor for Nephrology Services MOH
General Nephrology
Research Audit
Kidney Transplant
Diagnostic Interventional
Nephrology Haemodialysis
Critical Care Nephrology
CAPD
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APPENDIX 7
LIST OF RECOMMENDED EQUIPMENT Essential Medical Non-Medical Equipment For Haemodialysis Unit
• Haemodialysis Machines • Dialysis Chairs
• Automated Dialyser Reprocessors • Water Puriication Systems, Reverse Osmosis
• Automated Clotting Timers ACT • Sitting weighing scale
• Oxygen supply • Dressing trolleys
• Emergency cart trolley with deibrillator • Non-invasive blood pressure monitoring NIBP sets
• Pulse oxymeters • Volumetric infusion pumps
• Electrocardiographs ECG machine • Glucose monitoring set
• Refrigerator • Computer with Internet connectivity
Optional items for Haemodialysis Unit
• Online Haemodiailtration machine HDF • Continuous Renal Replacement Therapy CRRT machine
• Portable Reverse Osmosis Water System • Non Invasive Vascular Access Monitoring
• Slow Extended Daily Dialysis Machine SLEDD • Dialyzer rinsing machines
• Bioimpedance analyser
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Essential Medical Non-Medical Items For PD Unit
• PD cyclers • PD sets
• Hanging scale • Sitting weighing scale
• Oxygen supply • Dressing trolleys
• Emergency cart trolley with deibrillator • Non-invasive blood pressure monitoring NIBP sets
• Volumetric infusion pumps • Electrocardiograph ECG machine
• Glucose monitoring set • Refrigerator
• Computer with Internet connectivity
Other Essential Medical Non-Medical Items For Nephrology Services
• Ultrasound • Renal biopsy equipment
• Urine phase contrast microscope • Ambulatory blood pressure monitor
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APPENDIX 8
LIST OF MEDICATIONS 1.
Transplant drugs
• Cyclosporine • Tacrolimus
• Mycophenolate Mofetil • Mycophenolate Sodium
• Azathioprine • Prednisolone
• Methylprednisolone • Sirolimus
• Everolimus • Monoclonal and polyclonal antibodies e.g. thymoglobulin, ATGAM
• IV Immunoglobulin • Basiliximab