DIALYSIS TECHNICIAN COURSE
- INTRODUCTION
Dialysis is a medical procedure that acts as the artificial kidney by removing waste from the blood and excess fluids from the body when the kidney fails to do so. A dialysis technician performs duties related to the renal dialysis of patients suffering from kidney failure or Chronic Kidney Disease. Also known as Hemodialysis of Nephrology Technicians. Dialysis technicians can help make the difference between life and death as is always done under the supervision of a physician, registered nurse and senior dialysis technician either in Hospital facilities or Free Standing Dialysis Facility.
2. What does dialysis technician do?
Dialysis Technicians job entails operating the hemodialysis machine and preparing the patient prior the procedure and giving patients care during the procedure. During dialysis treatments, the dialysis technician makes certain that the dialysis machine is operating properly and the procedure is going smoothly. They clean the dialysis machine before and after each procedure.
3. What is Dialyzer reuse?
Dialyzer reuse is a practice done to patients using the same dialyzer for multiple treatments. Dialyzers are not just reused, they are reprocessed. This Reprocessing of used dialyzer is done by a trained dialysis technician in a Dialysis Facility.
The reprocessing procedure involves cleaning, testing, filling the dialyzer with sterilant, inspecting, labeling, storing, and rinsing the dialyzer before it is reused for the next patient’s dialysis treatment.
A re -use machine cleans the dialyzer using water, treated with reverse osmosis. This water is highly purified and cleans the dialyzer without leaving traces of particles and chemicals. The reuse machine performs pressure test and blood volume test which indicates that the dialyzer can be reused or is disposed of in the proper manner.
The process of re- using dialyzers requires specially trained and skilled technicians to perform the procedure efficiently and accurately for a safe dialysis treatment. Therefore, this dialysis technician training aims to teach the trainees to learn the knowledge and develop the technical skill which a dialysis technician is expected to perform in all aspects of reprocessing a dialyzer.
4. METHODOLOGY
The training is composed of 2 phases:
a. didactic (1 day/8 hrs)
b. clinical exposure (19 days/ 152 hrs), a total of 60 hours ( 20 working days)
5. TARGET PARTICIPANTS
: at least 2 years in college (Technical / Vocational
: Nursing graduates (under board), nursing assistants/aide, care giver who are interested in learning the technical aspects of dialysis treatment.
6. TRAINING FEE
- P10,000, Miscellaneous Fee -P800.
- Training Module Provided
Note: Accommodation, Transportation and Meal not included.
7. REQUIREMENTS
- Updated Resume
- Transcript of Records
- Hepatitis profile ( Hbsag. AntiHBS, AntiHCV)
- CXR
8. PROGRAM SCHEDULE
9. TOPICS
- Anatomy and Physiology of the Renal System
- Principles of Dialysis
- Dialyzer Re use / Dialyzer Reprocessing
- Infection Control and Prevention Practices in a Dialysis Facility
- Water Treatment System, Its Importance and Functions of Its Parts
- Hemodialysis Machine Basic Operation
- Waste Management / Disposal
10. SCHEDULE OF ACTIVITIES
- Didactic Phase
09:00- 10:00 Anatomy and Physiology of the Renal System
10:00-11:00 Principles of Dialysis
11:00- 12:00 Infection Control and Prevention in a Dialysis Facility
12:00 Lunch Break
01:00-02:00 Dialyzer Re use/ Dialyzer Reprocessing
02:00 -03:00 Water Treatment System, Its Importance and Functions of its Parts
03:00-04:00 Hemodialysis Machine, Basic Operations and Minor Troubleshooting
04:00-05:00 Waste Management/ Disposal
- Clinical Exposure (Hemodialysis area)
Week 1
08:00 – 05:00 Orientation: Dialysis Area, Dialyzer Reprocessing
Room, R/O Room, Admin Office
Demonstration on HD machine: Set Up and basic operation.
Practice demo on machine set up
2nd day
08:00- 5:00 Actual HD machine operation, learning how to respond to alarms.
Demonstration on setting up the extracorporeal circuit. Learning how to prime the dialyzer and bloodlines with Normal Saline prior to connecting the patient to the machine.
3rd day to 5th day
08:00- 05:00 Actual HD machine Operation, (Rinsing and Disinfection of the machine, attending to machine alarms.
Priming of the extracorporeal circuit.
Assisting the nurse in the opening and termination of the dialysis procedure
Disinfection the machine after the procedure.
Week 2
08:00-05:00 Orientation: Reprocessing machine, parts and its function
Knowledge on Basic trouble shooting of the reprocessing machine
Learning the Reprocessing Techniques:
- Cleaning
- Rinsing
- Performance testing
- Dialyzer Labeling
- Disinfection and Sterilization
> Chemical Disinfection
> Heat Disinfection
7th day to 10th day
08:00- 05:00 Actual Operation of the Reprocessing machine
Actual Reprocessing of used dialyzers
- Cleaning Phase
- Volume test
- Pressure test
- Dialyzer is filled with sterilant
- Inspection
- Labeling
- Storage
- Inspection and presence of chemical testing
- Rinsing and Residual testing
- Post treatment
Week 3
08:00-5:00 Actual Operation of the Reprocessing machine
Actual Reprocessing of used dialyzers
- Cleaning Phase
- Volume test
- Pressure test
- Dialyzer is filled with sterilant
- Inspection
- Labeling
- Storage
- Inspection and presence of chemical testing
- Rinsing and Residual testing
- Post treatment
Week 4
08:00 – 5:00 Demonstration on the mixing of acid and Bicarbonate Solution.
Actual preparation (mixing) of Acid and Bicarbonate solution
18th day to 19th day
08:00 to 05:00 Orientation on the set up of the Reverse Osmosis Water Treatment System
Demonstration on monitoring and basic maintenance of the water treatment system
Documentation
20th day
Issuance of Certificates.
CLAUDIA R. BASILIO, R.N.
Dialysis/Ancillary/ Training Manager
Kidney Foundation of the Philippines Inc, Renal Center
#20 President Quezon Street, Life Homes Subdivision, Rosario Pasig City
Contact # 09175504637 email: kidneyfp@gmail.com