1. Pre-Dialysis Preparation

- - Check and record patient pre-dialysis weight, blood pressure, temperature, and pulse.

- - Inspect and assess vascular access sites (AV fistula, grafts, or central venous catheters) for patency and signs of infection.

- Prime, calibrate, and set up the hemodialysis machine, blood tubing lines, and dialyzer according to doctor prescriptions and safety checks.

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2. During Dialysis Treatment

- - Cannulate vascular access or connect the patient safely to the dialysis machine.

- - Monitor the patient's vitals, machine parameters, and ultrafiltration rates continuously throughout the session.

- - Administer prescribed intra-dialysis medications, heparin, or saline as directed by the nephrologist.

- Identify and rapidly manage intra-dialysis complications such as drops in blood pressure (hypotension), nausea, vomiting, or muscle cramps.

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3.



Post-Dialysis & Patient Care

- - Safely disconnect the patient, apply proper pressure/dressings to access sites, and record post-dialysis weight and vitals.

- - Clean, disinfect, and maintain dialysis equipment according to hospital infection-control guidelines.

- - Maintain accurate electronic or physical nursing documentation of treatment sheets, fluid removal, and lab results.

4. Patient Education & Counseling

- - Educate patients and their families on fluid and dietary restrictions (e.g., sodium, potassium, and phosphorus management).

- - Instruct patients on how to care for their vascular access at home and recognize early signs of infection or clotting.

📌 Staff Nurse (Kannur)
🏢 Thanal
📍 Kannur