Patient Safety: Initiating Dialysis with Catheter: Catheter Exit Site Care

[@hannahxpress485]

This is the dialysis in slow motion. When I worked at a dialysis clinic, my clinical manager forced me to do the procedure in less than 5 mins for patient prep, and then 5 mins for prepping the machine and 5 mins for assessment and electronic medical record. When a patient shows up by 9:00am for appointment. The patient is expected to be already running in the machine by 9:15am at the same time, I also have to respond to any emergencies, answer phone calls and answer door bells within that 15 mins span. Otherwise, my clinical manager would bring me to the office to be reprimanded and complained. Real life dialysis as a technician.

[@AnIrishExport]

Where did you work as a CCHT ?

[@emelkemphamilton9419]

And when something goes wrong it's the Nurse everyone blame no one looks at the small time space we have to do so much 😢

[@francisnyakundi1520]

,:&

[@hannahxpress485]

@@emelkemphamilton9419 yes! That short amount of time is a set up for failure and not safe for patient at all. But then again, we're just technicians on the floor. We really have no say.at all.

[@voiletmonteiro9468]

So true

[@bridgetteukaonu5215]

Thank you, this is so appreciated. I just started dialysis and this helps to answer so many questions about what is going on with my body. I also wanted to know if the catheter ever moves? Some days it feels like it is larger then normal or maybe i just feel it more.

[@BlackCatBelzebub]

Here are my few additional points for safer cvc cleaning. 1. Proper hand hygiene at least 6 steps as recommended. 2. Change gloves after removing old dressing. 3. Assess exit site for s/s of infection. 4. With new gloves, wrap lumens with alcohol or chlorhexidine wipes. Then start cleaning exit site from inner to outer in a circular motion. Allow contact time for at least 15 secs before covering with new dressing. 5. Never touch key points.(exit site, lumens, tip of syringes.

[@camnic2145]

Really love this info...not a fan of the alcohol base on hand...prefered the WASHING OF HANDS..

[@blancaras9853]

Thank you so much for the explanation is so clear. 😊

[@DocWatchtower]

Hand-hygiene, while wearing a wedding-ring....is not proper hand-hygiene! 1- Micro-organisms hidden underneath the ring may survive the disinfecting procedure. 2- The ring will increase the risk of perforating the surgical gloves while working or worse, the glove can already be damaged when putting it on. 3- The ring on your finger also increases the risk of compromising the skin underneath, giving micro-organisms a nice entry-port to your body while providing optimal surroundings for them to grow and prosper. 4- wearing a ring increases the risk of hurting either yourself or the patient as it can get stuck/hooked on protruding equipment, iv-lines, parts of the bed, etc etc.

[@ahrqpatientsafety]

Thanks for raising these issues. The Centers for Disease Control and Prevention raised such concerns about potentially greater contamination in its hand hygiene guidelines (www.cdc.gov/mmwr/PDF/rr/rr5116.pdf#page=19). However, the most recent relevant study we know about found no association between ring wearing and bacterial counts found on hands of staff who performed scrubless hand sanitization using alcohol wash or alcohol-chlorhexidine lotion (www.ncbi.nlm.nih.gov/pubmed/17326029). As CDC noted in its 2016 Clean Hands Count campaign, “further studies are needed to determine if wearing rings results in an increased spread of potentially deadly germs.” Risks of other outcomes (e.g., damage to gloves or to the wearer of the ring) may vary. However, we know of no studies addressing these issues.

[@veda-songbird1815]

Wow...I just wondered what my Friends really go through...Wow🙏🏽🙏🏽🙏🏽🙏🏽🙏🏽

[@mainielsen2304]

Really poor hand hygiene and ex-site care. dialysis patient from Denmark.

[@RealMexFoodShouldntGiveUDrrhea]

My dad just had this done and the tech had her hair down and no goggles. Why?

[@NursingStudent-c8g]

Boss not enforcing rules (or didn’t see).

[@NursingStudent-c8g]

I thought you’re supposed to flush limbs with saline before connecting lines?

[@kassidyhill2327]

you are

[@olgajegorova2888]

really, ring on the hand???

[@JoshuaKevinPerry]

Thanks for raising these issues. The Centers for Disease Control and Prevention raised such concerns about potentially greater contamination in its hand hygiene guidelines (www.cdc.gov/mmwr/PDF/rr/rr5116.pdf#page=19). However, the most recent relevant study we know about found no association between ring wearing and bacterial counts found on hands of staff who performed scrubless hand sanitization using alcohol wash or alcohol-chlorhexidine lotion (www.ncbi.nlm.nih.gov/pubmed/17326029). As CDC noted in its 2016 Clean Hands Count campaign, “further studies are needed to determine if wearing rings results in an increased spread of potentially deadly germs.” Risks of other outcomes (e.g., damage to gloves or to the wearer of the ring) may vary. However, we know of no studies addressing these issues.

[@hajaradahir1553]

Iam now 11 years old I had a kidney transplant and dialysis

[@SakuraaaHarmony]

hajara dahir that’s good!! I hope you’re doing well 💜

[@brianobita9340]

i love this!!!!!!!!!!!

[@drexq_477]

it's nothing fun or to like or love about being on dialysis I tell you that it may extend your life but not for long

[@LKY-AbbyBaby]

Such bad ergonomic posture for the staff who have to do this 30x/day. It is sad that these monopoly company don't do anything about fixing this problem. By the end of the day, she will have a horrible achy back from hunching over to do CVC care/tx.