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haemodialysis_quality_standards - Rotary International District 3310

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CHAPTER 3: EQUIPMENT<br />

3.1 Haemodialysis (HD) machines<br />

3.1.1 HD machine shall be capable of performing conventional (diffusive) HD<br />

and preferably convective therapy.<br />

3.1.2 The machines shall be approved by regulatory authorities in USA, Europe<br />

or Japan. The machines shall also meet the conditions and regulations<br />

set up by the Director General of Health, Malaysia.<br />

3.1.3 Power supply<br />

There shall be a mechanism to ensure uninterrupted power supply to<br />

return blood from the extra-corporeal circuit in the event of power failure.<br />

3.1.4 Back-up Machine<br />

For centres running on full capacity [one (1) machine to six (6)<br />

patients], there shall be one back-up machine and<br />

<br />

For full capacity centres with more than ten (10) machines, a<br />

minimum of one back-up machine is required for every ten (10) HD<br />

machines.<br />

3.1.5 High Flux HD<br />

<br />

the dialysate shall be used.<br />

3.1.6 HD Machine Disinfection<br />

<br />

The external surfaces of the HD machines shall be disinfected after<br />

each dialysis session.<br />

<br />

Disinfection of the internal hydraulic circuit of the HD machines shall<br />

be performed after the last dialysis session of the day. However, it<br />

is preferable to disinfect after each <strong>haemodialysis</strong> session.<br />

Haemodialysis Quality and Standards 15

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