Marketplace and Quality Assurance Presentation - Vincent Chirchir
Dialysis unit
1. DIALYSIS UNIT
Presented by :-
Dr.Amandeep Singh,
Roll No. - 14160
MBA Hospital
Management
2. DIALYSIS
Dialysis ( Greek dialusis
,"διάλυσις", meaning dis
solution, dia, meaning thr
ough, and lysis, meaning
loosening or splitting) is
a process for removing
waste and excess water
from the blood, and is
used primarily to provide
an artificial
replacement for
lost kidney function in
people with renal failure.
3. TYPES OF DIALYSIS
Hemodialysis
(ICD-9-CM – 39.95 Other
operations in vessels)
Peritoneal dialysis
(ICD-9-CM – 54.98 in
operations in Abdominal
regions)
Hemofiltration
Hemodiafiltration
Intestinal dialysis
4. TYPES OF DIALYSIS UNIT
An out-of-hospital out-patient dialysis unit that is
a licensed facility which provides services on an
out-patient basis to persons requiring dialysis on
a short-term basis or for a chronic condition or
training for home dialysis; or
An in-hospital dialysis unit that is a special unit
of a licensed hospital designed, equipped and
staffed to offer dialysis therapy on an out-patient
basis, and to provide training for home dialysis
and renal transplantation as appropriate.
5. DIALYSIS UNIT
OF ivy hospital,
mohali
Dialysis unit of IVY Hsopital under the experienced hand of Dr.Raka
Kaushal, state of the art facilities, experienced staff and with a
capacity of 22 beds is catering to the needs of 60-70 patients per day
including local as well as patients from far areas.
LOCATION OF DIALYSIS UNIT
The dialysis department of IVY
Hospital, Mohali is located on 2nd
floor, near to the vertical transport and
stairs of the hospital.
It is well connected to the other wards
through vertical transport of the hospital.
6. ORGANIZATION OF DIALYSIS DEPARTMENT
OF IVY HOSPITAL
Dr.Raka Kaushal MD ,DM
Dr.Deepika Bansal B.A.M.S
Dr.Upneet Kaur, B.A.M.S
TWO More Medical officers
recently joined.
There are 22 Staff
members including
technicians and nurses
working in dialysis
department.
All the Medical officers and
staff members report to
Dr.Raka Kaushal.
7. DESIGN CONSIDERATIONS
Outpatients have convenient access to the Dialysis
unit from parking areas and public transportation.
Inpatients have a secluded access which
accommodates the passage of bariatric size patient
transport devices.
There is 4’-0” (1.22m) minimum clearance between
beds.
Dialysis patients are highly sensitive to and adversely
affected by unsteady ranges of
temperature, pressure, and humidity. Environmental
systems are provided for stable, consistent
conditions.
9. ARCHITECTS PLAN FOR A
STAND-ALONE HD UNIT
Black dots Electricity
outlets
Green dot : Oxygen
outlet
Yellow dot: Vacuum
outlet
Blue dot: treated water
inlet
Ash dot: drainage outlet
11. FACILITIES AT DIALYSIS UNIT
Reception
Waiting area close to reception
Consultation room of Dr.Raka kaushal (Nephrologist)
and Dr.Avinash Srivastva (Urologist)
Changing room for the staff
Nursing station inside the dialysis unit
22 dialysis machines, attached beds
Staff facilities
Storage facilities for supplies
Patient and toilets
Television for the entertainment of patients while they
get dialyzed
13. IVY DIALYSIS UNIT FEATURES
State of the art 22 bedded dialysis unit with latest
generation haemodialysis machines.
RO Water for better safety of patients.
Continuous monitoring of patients with fully
computerized monitors during dialysis to prevent
complications.
Disinfection of machines after every
shift, fumigated weekly, cultures are sent every
week.
Separate facility for Seropositive and negative
patients.
Highly (BLS,ACLS) trained dialysis technicians
and nursing staff
Round the clock dialysis facility for emergency
14. REVERSE OSMOSIS AND DIALYSIS UNITS
Water purity for dialysis is of critical importance for
patient health and outcome.
Three major points to consider:
1) Haemodialysis (HD) patients exposed to more
than 400 L of water per week.
2) The stomach acid and intestinal barrier protect
from the ills of contaminated water more effectively
than the barrier imposed by the dialyzer
membrane.
3) The functioning kidney further protect the normal
individual from the contaminants of water by
eliminating these, this protection being absent for
HD patient.
15. REVERSE OSMOSIS CONTD…
To make water healthier and relatively pure, water authorities
often add fluoride, aluminium, chlorine, and chloramines. This
makes water unsafe for HD use, as these chemicals have been
known to accumulate in dialysis patients leading to significant
morbidity and mortality.
Reverse Osmosis -
Removes almost all dissolved ions
Removes almost all organisms and fragments
Uses large quantities of water
Life of membrane depends on quality of water
16. WATER TREATMENT
Dialysis water treatment implies various levels of pre-
treatment and a final purification module prior to
distribution of purified water through a hydraulic
circuit.
1. Deionization (DI) Water: Water which has been
treated to remove contaminants. This system
removes most mineral deposits, but microbial
contaminants may remain.
2. Feed Water: The untreated, potable water available
throughout the facility through its water supply
system.
17. WATER TREATMENT CONTD..
3. Permeate Water : Fully treated purified
water, stored in a tank, which is used in the
preparation of dialysate.
4. Pre-treated Water : Partially treated
water, sometimes available as feed water, which has
had substantial reduction of mineral and/or microbial
particles.
5. Reverse Osmosis (RO) Water: Usually the final
purification module in the treatment system, RO-
based treatment modules produce water of optimal
chemical and microbial quality.
