Part Two
- Machine care policy
Machine care policy
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Politics:
Caring for the machine after the session according to the standards of specialized medical centers and the standards of international quality organizations.
The Purpose:
◾ Providing treatment services at a distinguished level according to the standards of specialized medical centers and the standards of international quality organizations to all our clients in order to satisfy them while preserving the environment according to the standards and objectives of environmental protection institutions and following occupational health and safety policies and infection control standards.
Procedures:
◾ Wear protective clothing.
◾ Remove the solution stick from the jerry can and place it in the machine.
◾ Connecting dialysis tubes to the machine.
◾ Ensure that all doors (pump, blood tank) are closed.
◾ Enter the Rinse program first.
◾ Enter the machine into the Disinfection program.
◾ Apply the necessary solution to the machine: chlorine or citric solution.
◾ After the machine finishes the program, the machine shuts down.
◾ Wipe the machine from the outside with chlorine diluted at a ratio of 2:8.
◾ Wipe the parts of all operating keys with alcohol.
Responsible for implementation:
◾ Nursing staff members in the unit.
The Reviewer:
◾ Proposed specifications for the dialysis unit
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Peroneal dialysis session policy (temporary)
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Politics:
Conducting a peritoneal dialysis session (temporary) according to the standards of specialized medical centers and the standards of international quality organizations.
The Purpose:
Providing treatment services at a distinguished level according to the standards of specialized medical centers and the standards of international quality organizations to all our clients in order to satisfy them while preserving the environment according to the standards and objectives of environmental protection institutions and following occupational health and safety policies and infection control standards.
Procedures:
Explain what will be done to the patient.
Wear protective clothing and sterile gloves for both the doctor and the nursing staff.
Abdominal skin sterilization.
Injection of local anesthetic (Xylocaine) into the selected area in the lower abdomen by the doctor.
Installing a peritoneal catheter and verifying its placement by the doctor.
The patient and the connections are handled sterilely (sterile gloves).
A bottle of washing solution, whether concentrated or diluted, depending on the patient's condition, is placed inside the peritoneal cavity over a period of a quarter of an hour.
Leave it for 15 to 20 minutes, then empty it over a quarter of an hour.
Heparin and the antibiotic are placed in the lubricants or solution used according to the doctor's instructions.
Responsible for implementation:
Doctors and nursing staff in the unit.
The Reviewer:
Proposed specifications for the dialysis unit.
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Policy for conducting monthly patient analysis
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Politics:
Conducting a monthly analysis of patients in the dialysis unit according to the standards of specialized medical centers and the standards of international quality organizations.
The Purpose:
Providing treatment services at a distinguished level according to the standards of specialized medical centers and the standards of international quality organizations to all our clients in order to satisfy them while preserving the environment according to the standards and objectives of environmental protection institutions and following occupational health and safety policies and infection control standards.
Procedures:
The doctor visits the patient and determines the type of tests required.
Writing the tests in a test permit by the doctor.
Preparing special tubes for the sample type by nursing staff.
Samples are collected while following infection control instructions by the nursing staff responsible for the patient.
Send the sample to the laboratory by the worker in the unit.
Bring the analysis results from the laboratory through the secretariat.
Informing the doctor of the results and recording them in his patient file and the analysis notebook.
Giving a copy of the test permit to the accounting employee to place in the patient’s file.
Presenting monthly analyzes to the unit manager.
Responsible for implementation:
The unit director, doctors, the unit's nursing staff, the accounting officer and the secretarial.
The Reviewer:
Proposed specifications for the dialysis unit.
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Policy for disbursing monthly treatment to Ministry of Health patients
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Politics
Disbursing monthly treatment to Ministry of Health patients according to the standards of specialized medical centers and the standards of international quality organizations.
The Purpose:
◾ Providing treatment services at a distinguished level according to the standards of specialized medical centers and the standards of international quality organizations to all our clients in order to satisfy them while preserving the environment according to the standards and objectives of environmental protection institutions and following occupational health and safety policies and infection control standards.
Procedures:
◾ The patient or companion brings the decision.
◾ The decision is delivered to the accounts.
◾ The accounts give a scan of the patient signed by the accounts official.
◾ The doctor writes the required medications for the patient.
◾ The patient goes to a state-funded pharmacy to dispense medications.
◾ The patient signs a permission to dispense medications at the pharmacy.
◾ The pharmacist delivers a copy of the disbursement authorization to the accounts official to place in the patient’s accounts.
Responsible for implementation:
Unit pharmacist.
Unit accounts.
The Reviewer:
Proposed specifications for the dialysis unit.
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Dialysis unit accounts policy
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Politics:
Dialysis unit calculations according to the standards of specialized medical centers and the standards of international quality organizations.
The Purpose:
Providing treatment services at a distinguished level according to the standards of specialized medical centers and the standards of international quality organizations to all our clients in order to satisfy them while preserving the environment according to the standards and objectives of environmental protection institutions and following occupational health and safety policies and infection control standards.
Procedures:
The patient is brought to the dialysis unit.
The doctor signs a medical examination and determines the required tests and investigations.
Sessions are conducted for the patient at his expense according to his need and the doctor is determined until a decision is made at the expense of the state or the approval of the company.
The accounts employee and the specialist doctor write the necessary medical report.
The report of the tripartite committee is written for patients undergoing treatment at state expense.
Writes a medical report for corporate patients to obtain approval for dialysis.
After issuing the decision for the patients of the Ministry of Health or approval from the companies, the accounts employee receives it after informing the doctor and saves it in a special file in the patient’s name.
An appropriate time is determined for the unit and for the patient to undergo dialysis sessions.
A clavicle catheter (Mahurker) is installed, and the patient is held accountable for its installation. If the patient has had an arteriovenous connection, dialysis is performed through it.
And it's done three sessions per week at the specified times.
The accounting clerk records all patients with hesitations or other cases in a special program for the dialysis unit on the computer.
He also records records in a notebook for verification with the program on the computer and also with another notebook for nursing.
Then write down the monthly sessions and treatment again in the hospital’s software to extract the bill.
At the end of the month, the accounts employee prepares an invoice for the total number of sessions and monthly treatment for each patient, and it is sent to the marketing department, which sends it by division to the ministry or companies for collection.
Responsible for implementation:
Doctors, accounts officer.
The Reviewer:
Proposed specifications for the dialysis unit.
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Employee health policy
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Politics :
Maintaining the health of the two years in the dialysis unit according to the standards of specialized medical centers and the standards of international quality organizations.
Purpose:
Providing treatment services at a distinguished level according to the standards of specialized medical centers and the standards of international quality organizations to all our clients in order to satisfy them while preserving the environment according to the standards and objectives of environmental protection institutions and following occupational health and safety policies and infection control standards.
Procedures:
The necessary training and instructions must be provided to people who are exposed to infection by virtue of their work on a regular basis (for example, annually). The necessary training and instructions are also provided to new health staff before they take up work in dialysis units, and this training is documented in a designated record.
All workers in dialysis units must be vaccinated against hepatitis B virus, and this must be documented in a designated record.
The health team must wear special, leak-proof clothing to protect themselves from infection and protect their clothes from getting dirty when performing procedures during which they may be exposed to splashes or splashes of blood (such as when starting and finishing a patient’s delivery for dialysis, as well as when cleaning dialysis machines and During the apheresis process).
The health team should not eat, drink, or smoke in the area designated for dialysis.
It is not recommended to take any special measures or impose any work restrictions on anyone infected with a blood-borne disease (hepatitis B and C).
Responsible for implementation:
Unit director, unit nursing staff members
The Reviewer:
◾ Proposed specifications for the dialysis unit
◾ National Infection Control Guide.
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