The specification content of the hemodialyzer reuse operation specification

It should meet the requirements of normal appearance, capacity detection, pressure detection and residual quantity.

The visual inspection requirements of the hemodialyzer after reuse are as follows: 1. The visual inspection label is clearly written, firmly attached to the dialyzer, the dialyzer is closed normally, there is no structural damage and blockage, and the port is well closed and there is no leakage. The storage time is within the specified period.

2. The capacity of the dialyzer for volume testing should be at least 80% of the original initial capacity.

3. The pressure detection maintains the positive pressure of 250mmHg in the dialyzer chamber for 30 seconds, and the pressure drop should be seconds, and for the high-throughput membrane, the pressure drop should be seconds.

4. According to the requirements of disinfectant products, the corresponding method can be used to detect the residual amount of disinfectant in the dialyzer to ensure that the state coarse meets the standard.

Things to keep in mind:

1. The vascular sound of the fistula disappears (infection, pain, bleeding, etc.).

2. Symptoms of hyperkalemia.

3. High fever. 4. Prolonged hypertension.

5. Others (black stool, persistent abdominal pain, nausea, persistent headache, stiff tongue, unconsciousness, chest pain, chest tightness, dyspnea).

Please refer to the Hemodialyzer Multiplexing Practice Code in the library

The "Code of Practice for the Reuse of Dialysis Orthodox Device" is an industry standard issued by the Ministry of Health of the People's Republic of China in July 2010. This specification describes the basic elements of rational reuse of hemodialyzers, the purpose of which is to ensure the safety and effectiveness of reuse hemodialyzers.

Under the leadership of the Ministry of Health of the People's Republic of China, the Standard Operating Procedures for Peritoneal Dialysis are written by experts organized by the Nephrology Branch of the Chinese Medical Association, aiming to standardize the management and operation of peritoneal dialysis and ensure the quality and safety of medical treatment. The book is divided into four parts, the first is the standard operating procedures for peritoneal dialysis management, which is divided into four chapters to introduce the establishment and qualification of peritoneal dialysis units (centers), structural layout, personnel qualification standards and management procedures; The second part is the clinical standard operating procedures for peritoneal dialysis, which is divided into 13 chapters, which expounds the various problems that may be encountered in the clinical practice of peritoneal dialysis, including the indications, contraindications and withdrawal indications of peritoneal dialysis, peritoneal dialysis catheter surgery, the formulation and adjustment of peritoneal dialysis prescriptions, the management and training of patients, the diabetic patients, the elderly and children, the relevant content of peritoneal dialysis, unifying the basic understanding of peritoneal dialysis, and preliminarily standardizing the operation of peritoneal dialysis; The third part is the standard operating procedure for the management of peritoneal dialysis-related complications, which is divided into six chapters to discuss the principles and plans for the treatment of common problems in peritoneal dialysis** overstaring, including peritoneal dialysis-related infectious or non-infectious complications and their management, as well as peritoneal transport function, dialysis adequacy, volume load and nutritional status, calcium and phosphorus metabolism assessment and management, etc. The fourth is a standardized peritoneal dialysis patient manual, which provides guidance for peritoneal dialysis patients at home**. In addition, the Standard Operating Procedures for Peritoneal Dialysis set up an appendix, which provides templates of commonly used medical documents and common calculation formulas for peritoneal dialysis, as well as the dosage of common drugs.

The Standard Operating Procedures for Peritoneal Dialysis (SPP) aims to provide specifications, guidance and recommendations for peritoneal dialysis in hospitals at all levels.

The layout and process shall meet the requirements of hospital infection management, with clear cleaning and pollution partitions, clear labeling, and reasonable processes. Among them, the ** preparation room, water treatment room, cleaning warehouse, liquid preparation room, dialysis storage room after reuse, and the office and living area of medical staff are clean areas, the dialysis room, the special operating room, the operation room, the reception room area and the patient changing room are potential infection risk areas, the dialyzer reuse room, the sewage treatment room and the sanitary ware room are polluted areas, and the functional rooms in different cleanliness areas follow the principle of relatively centralized placement.

Legal basis: Basic Standards for Circular Fluid Dialysis Room

Article 1 In order to standardize the management of hemodialysis units in medical institutions, improve the level of hemodialysis, effectively prevent and control iatrogenic infection caused by hemodialysis, improve medical quality and ensure medical safety, these specifications are formulated in accordance with the "Regulations on the Administration of Medical Institutions", "Measures for the Administration of Hospital Infections" and "Measures for the Administration of Clinical Application of Medical Technology" and other relevant laws and regulations.

Article 2 This specification applies to all levels and types of medical institutions that set up hemodialysis rooms.

Article 3 Local health administrative departments at all levels shall, according to the needs of local medical services, do a good job in planning the establishment of hemodialysis rooms, and strictly implement the practice registration management of hemodialysis rooms.

Lawyer's analysis: The layout and process should meet the requirements of hospital infection management, with clear cleaning and pollution partitions, clear identification, and reasonable processes. Among them, the ** preparation room, water treatment room, cleaning warehouse, liquid preparation room, dialysis storage room after reuse, and the office and living area of medical staff are clean areas, the dialysis room, the special operating room, the lead royal head operation room, the reception room area and the patient changing room are potential infection risk areas, the dialyzer reuse room, the sewage treatment room and the sanitary ware room are polluted areas, and the functional rooms in different cleanliness areas follow the principle of relatively centralized demolition and resettlement.

Legal basis]:

Basic Standards for Hemodialysis Units

Article 1 In order to standardize the management of hemodialysis units in medical institutions, improve the level of hemodialysis, effectively prevent and control iatrogenic infection caused by hemodialysis, improve medical quality and ensure medical safety, these specifications are formulated in accordance with the "Regulations on the Administration of Medical Institutions", "Measures for the Administration of Hospital Infections" and "Measures for the Administration of Clinical Application of Medical Technology" and other relevant laws and regulations.

Article 2 This specification applies to all levels and types of medical institutions that set up hemodialysis rooms.

Article 3 Local health administrative departments at all levels shall, according to the needs of local medical services, make plans for the establishment of hemodialysis rooms, and strictly implement the practice registration management of hemodialysis rooms.