haemodialysis_quality_standards - Rotary International District 3310

More documents

Recommendations

Info

8.3.4 Vaccination Schedule A four (4) doses double-strength vaccination schedule is recommended at zero (0), one (1), two (2) and six (6) months. Serum anti-HBs Ab shall be checked one to two (1-2) months after completing the vaccination course. Those that do not develop anti-HBs Ab response (>10mIU/ml) after primary vaccination shall be re-immunized. Re-immunization consists of one to three (1-3) doses, after which if they remain negative are unlikely to respond to additional doses. 8.3.5 Haemodialysis staff caring for HBsAg positive patients shall not care for Hepatitis B susceptible patients at the same shift. 8.3.6 The licensee/person-in charge shall notify Ministry of Health of any Hepatitis B seroconversion. 8.4 Hepatitis C: Prevention & Isolation Practice 8.4.1 Patients shall be tested for anti HCV antibody: After returning from another <strong>haemodialysis</strong> facility. 8.4.2 In anti HCV negative patients, serological test (ELISA) shall be repeated every three (3) months. 8.4.3 8.4.4 not require repeated serological test. 32 Haemodialysis Quality and Standards
8.4.5 In some situations such as recent transfusion of blood/blood products or temporary dialysis in another unit, it is recommended to do monthly ALT testingfor three months,as itwill facilitate earlier detection of new HCV infections. If ALT is elevated: In patients who are anti-HCV negative, repeat anti HCV testing is warranted, however If anti HCV remains negative, HCV NAT (Nucleic Acid Testing) shall be done. 8.4.6 All anti HCV positive patients shall be isolated in a separate room or separate machines, equipment and instruments. 8.4.7 The licensee/person-in charge shall notify the Ministry of Health of any Hepatitis C seroconversion 8.5 Hepatitis B and C co-infection 8.5.1 Wherever possible, combined Hepatitis B & Hepatitis C infected patients shall be isolated. 8.5.2 If the isolation facility for combined Hepatitis B & C is not available, the patient shall be dialyzed in a Hepatitis B isolation facility during the last shift. 8.5.3 Single use of dialyser is mandatory. 8.6 8.6.1 Patients shall be tested for anti HIV antibody: After returning from another <strong>haemodialysis</strong> facility Haemodialysis Quality and Standards 33
Page 1: MOH / P / PAK / 235.12 (GU)
Page 5 and 6: This document was developed by the
Page 7 and 8: LIST OF APPENDICES Appendix 1: Micr
Page 9 and 10: Foreword By The Deputy Director Gen
Page 11 and 12: Dr Loh Chek Loong Consultant Nephro
Page 13 and 14: National Kidney Foundation Dato’
Page 15 and 16: CHAPTER 2: PHYSICAL FACILITIES 2.1
Page 17 and 18: CHAPTER 3: EQUIPMENT 3.1 Haemodialy
Page 19 and 20: 3.3.2 Basic requirements in a water
Page 21 and 22: (g) Reverse Osmosis (RO) Module
Page 23 and 24: (j) Disinfection of Distribution Lo
Page 25 and 26: CHAPTER 4: DIALYSIS CONSUMABLES 4.1
Page 27 and 28: CHAPTER 5: WATER QUALITY 5.1 Dialys
Page 29 and 30: 5.4.5 Limits and Action Level Maxim
Page 31 and 32: 6.3 Prescribing haemodialysis treat
Page 33: CHAPTER 8: INFECTION CONTROL MEASUR
Page 37 and 38: 8.7.2 Infection Control Precautions
Page 39 and 40: Appendix 1 Microbial requirements f
Page 41 and 42: Appendix 3 DAILY R.O WATER TREATMEN
Page 43 and 44: Appendix 5 200 hours training for P
Page 45 and 46: Appendix 7 Monitoring of intra-dial
Page 47 and 48: Appendix 9 Date Type of dialysers N
Page 49 and 50: Appendix 11 Method of measurement o
Page 51 and 52: If a common supply cart is used to
Page 53 and 54: Appendix 13 Recommended training on
Page 55 and 56: References 1 haemodialysis and rel
Page 57: UKM URR Urea Kinetic Modelling Urea

haemodialysis_quality_standards - Rotary International District 3310

Create successful ePaper yourself

Delete template?

Save as template?