• Denial
• Anger
• Bargaining
The 5 stages of grief. • Depression
What are they? • Acceptance
13. What removes carbon tanks
chlorine/chloramines?
14: needle not to exceed 450 ml/min without physician prescription
15: needle 350-450 ml/min
16: needle 250-350 ml/min
17: needle 200-250 ml/min
o Repeat the test- if still too high - move onto secondary port and test,
remember to notify biomed and FA
• F/U if secondary test results are within limits o Every 30 minutes
• F/U if secondary test results are too high o Stop dialysis by placing
Action if results are too high post dialysis delivery system into bypass-do not rinse patients' blood back
primary tank
, Has completed all the competencies for NFACT training, expert
cannulation skills documented and can determine if rule of 6's have
Advanced Cannulator been met
o Air in blood lines
Air / Foam Detector o Look at the circuit for blood in the system. DO NOT return blood with
• Alarm Causes air in the system.
• Appropriate Intervention
• Anemia
• Bone disease
Aluminum in water used for • Nausea
dialysis causes • Vomiting
o Kinking of the arterial blood tubing between access and monitor −
Hypotension
Arterial Pressure o Appropriate Intervention: Check needle placement, ensure lines are
• High alarm/ more negative causes: not kinked, check tape to ensure they are not kinked or applied too
Arterial needle clotted, infiltrated, tightly
or poorly positioned
o Separation of blood tubing from arterial access − Decrease in blood
pump speed
Arterial Pressure o Appropriate Intervention: verify connections are secure/ increase
Low alarm / more positive causes: blood pump speed
, • 28 days (except when the manufacturer specifies differently such as
At what time are medications Epogen MDV at 21 days)
containing a preservative discarded?
Less than 6 months experience or less than 10 successful cannulations.
Beginner Cannulator:
o Air bubbles in the dialysate, dirty sensor
Blood Leak Detector o Check dialysate connections, bleach machine
• Alarm Causes
Appropriate Intervention
o Always test while the RO is actively supplying water: After the RO
has operated for at least 15 minutes, before the first shift of patients, and
Chlorine/Chloramine testing • When every 4 hours
o After Primary carbon tank sample port • Acceptable result o Less than
Chlorine/Chloramine testing, Where or equal to 0.1 mg/l
hemolysis
Chlorine in water used for
hemodialysis causes