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6.2.3 Manpower
6.2.3.1 The PD team shall consist of: • Nephrologist
• Specialist andor medical oicer • Dialysis manager
• Allied health staf who are trained in PD • Attendants
• Access to the services of medical social worker, dietician, renal pharmacist as required. The staf to patient ratio
may vary depending on the case mix and the staf experience There shall be a minimum ratio of 1 trained
staf nurse or equivalent for every 25 patients for the home based CAPD program.
6.2.3.2 The responsibilities of the PD allied health staf shall include: • Identifying prospective patients for PD treatment and
decide on the suitability for such treatment or otherwise. • Organising and maintaining schedules on the following:
PD training, Tenckhof catheter insertion, regular follow up, supply of PD consumables and solutions, changing of
PD transfer set, PET Peritoneal Equilibration Test and adequacy test, home visits and retraining of patients.
• Providing facilities for outpatients or inpatients to carry out their regular PD exchanges.
• Providing feedback to the clinicians on the current status of the PD patients e.g. exit site status, patient’s compliance.
• Assisting in the PD clinic. • Assisting in clinical audit.
• Providing counselling to prospective, new or regular patients.
• Providing data to the national renal registry annually. • Maintaining and updating the potential cadaveric renal
transplant waiting list.
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6.2.4 Peritoneal Dialysis Clinic
6.2.4.1 The PD clinic is dedicated for the follow-up of patients on peritoneal dialysis.
6.2.4.2 The objective of the clinic is to review CAPD patients every 3 months or more frequently if indicated to ensure that the
patients receive optimal care. 6.2.4.3 During each visit:
• The patients shall receive a physical examination which shall include an examination of the exit site and the tunnel
tract. • The patients’ dialysis charts and laboratory tests shall be
reviewed including assessment of dialysis adequacy KtV, PET.
• The patients shall receive education in the following aspects:
o
Hand hygiene
o
To recognise the potential complications like exit site infection, peritonitis, and ultrailtration failure
o
Administration of erythropoietin or insulin
o
Exit-site care
o
Recording of weight, blood pressure, volume of ultrailtrate, PD solution strengths, etc
o
Diet
6.3 General Nephrology Services
General Nephrology services shall provide both outpatient and inpatient care.
6.3.1 Outpatient Nephrology Services
6.3.1.1 The nephrology clinic will provide promotive, preventive, diagnostic and therapeutic as well as counselling services on
kidney health, acute and chronic kidney disease CKD.
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