Steps:

◾   . Patients are received at the kidney clinic, examined, tests are performed, and their condition is determined if it requires dialysis or not.

◾   The patient was received in the space designated for patients in the Artificial Kidney Unit in the outpatient clinic

◾  The card is extracted.

◾  A specific allocation form that includes the patient’s name, date of birth, and code number assigned to him, as well as his financial treatment system.

◾   The patient goes to the unit and presents his card to the unit’s secretariat, who extracts the treatment file and gives it to him.

◾   This file contains his monthly records, his patient history, and the forms designated for monitoring his condition during the washing session.

Procedures for receiving a hesitant patient

Steps:

·      The unit’s administrator follows up by confirming appointments through the appointment card and recording the patient in the unit’s accounting records.

·      To weigh the patient before entering the session.

·      Recording the patient in the unit’s visitor book.

·      The weight in excess of the normal weight is calculated to be withdrawn.

·      Take complete vital signs.

·      Preparing the patient for a hemodialysis session.

·      Testing of electricity and water connections.

·      Prepare a jar of washing solution and place it next to the machine. Place the stick inside the jar according to the type of washing solution.

·      Open the machine and test the machine.

·      Place the filter in place on the machine.

·      Placing the artery connection and the vein connection in their correct place.

·      Connect the artery connection to the saline solution bottle to remove air from the filter lines.

·      Make sure the air comes out and put (a) heparin in the intravenous connection and make a closed circuit.

·      Pass the solution through the machine for 30 minutes..

·      Connecting the patient to the machine designated for him.

Nursing procedures for inserting a clavicle catheter (Mahooker)

Steps:

◾    Routine hand washing

◾    Preparing the necessary supplies and medications (catheter set - plaster - surgical betadine - xylocaine - sterile gloves - surgical thread - sterilization packet - sterile gauze).

◾    Explaining the procedure in a simple way, which helps provide psychological stimulation to the patient

◾    Hand washing is surgical

◾    Assist the doctor in sterilizing the installation site

◾    Help the doctor to administer Xylocaine to the site of application

◾   Follow up on the patient’s transfer to the radiology department for chest x-rays to be performed by the worker after installation

◾    Show the doctor the x-rays to monitor the location of the catheter

◾    Helping the doctor install the catheter

◾    Giving a Hepa Ren ampoule to analyze a centimeter in the arterial and venous connection after the end of the session.

◾    Change the place of the mohawk and put it on without a silk cover

◾    Routine hand washing

Nursing procedures during femoral catheter placement

Steps:

◾    Routine hand washing

◾    A spare bag containing a sterilizing bowl, sterilizing towels, and silk thread. Prepare the required supplies (sterile gloves, surgical betadine, sterile gauze).

◾    Explaining the procedure in a simple way, which helps provide psychological stimulation to the patient

◾    Hand washing is surgical

◾    Sterilize the catheter site (groin) with Betadine, taking into account the contact time.

◾    Help the doctor to administer Xylocaine at the site of installation

◾    Help the doctor install the catheter

◾    Routine hand washing after installation. Wash your hands and wear personal protection

◾    Remove the femoral catheter after the session ends and apply pressure on the catheter site for a few minutes while doing leg exercises.

◾   Put a sterile pad on the catheter site and put it on without a cover after the bleeding stops.