Hemodialysis Treatment and Technician Roles

Kidney Failure and Treatment Options

• Kidney failure requires treatment to replace kidney function, including dialysis and transplant options.

Hemodialysis Overview

• Hemodialysis (HD):

  • Involves a vascular access created surgically.

  • Blood circulates through a dialyzer (artificial kidney) that filters out wastes and excess water.

  • Operates in an extracorporeal (outside the body) closed loop.

Dialyzer Functionality

• Contains hollow fiber membranes.

• Waste and water exit the blood into a cleansing fluid called dialysate.

• Used dialysate, containing wastes, is disposed of down a drain.

Treatment Protocol

• Administered by a nephrologist who prescribes treatment details (time, blood and dialysate flow rates).

• Safety checks and alarms on machines ensure proper treatment and patient monitoring.

• More than 85% of U.S. dialysis patients receive standard in-center HD (three times a week, approx. 4 hours each).

• In-center self-care option available for greater patient involvement in care.

Technician Responsibilities

• Technicians assist in opening and operating clinics, conducting safety checks, and managing supplies.

• Responsibilities include:

  • Setting up and cleaning dialysis machines.

  • Taking vital signs and monitoring patient condition.

  • Explaining procedures to patients and addressing their needs during treatment.

  • Ensuring safe removal of needles post-treatment and monitoring for any complications.