DISCONNECTIONING A PATIENT FROM PD NIGHT MACHINE

By aborashyd83 April 8, 2022

PURPOSE

To disconnect the patient from the machine on completion of dialysis.

To investigate malfunction in the system

POLICY

All nursing staff working in the renal unit should be competent in disconnecting patient from (PD) peritoneal
An experienced nurse should carry out this procedure.
A strict aseptic technique should be maintained throughout the procedures in accordance with the policy and procedure of aseptic technique.
Hand washing should be performed according to the policy and procedure on hand washing.

EQUIPMENT

Trolley washed with soap and water and wiped with 70% spirit.
On & Off pack
Betadine solution (Antiseptic)
Mepore dressing 9x15cms(2)
OP site dressing 10x2cms (2)
Sterile gloves
Sterile clamp
Andy Clamp
Frekaderm hand rub
Freksept spray
Surgical Mask
Disposable apron

PROCEDURE

SN	Nursing Action	Rationale
01	Ensure that the prescribed number of liters is completed.	Shows-that treatment completed.
02	Ensure that all fluid has been drained from the patients.	To prevent fluid overload.

SN	Nursing Action	Rationale
03	When the machine shows that P.D. Plus cycle Completed Disconnect Patient press.
04	Second Nurse washes and wipes hands and apply Frekaderm hands rub thoroughly.
05	Close the clamps on the patient line and the catheter extension and spray Frekasept over it (breaking point).	To prevent infection.
06	Place the ANDY. Clamp between the patient line and the predetermined breaking point of the tubing set at the predetermined breaking point.	To prevent air entering to peritoneum.
07	In the machine press the key. Remove the tubing set from the upper clamps. Press the key remove the tubing set from the lower clamps. Press the key and dispose the tubing and put off the machine.
08	First Nurse Wears Disposable apron and surgical mask.
09	Clean the trolley with 70% spirit.	To prevent infection.
10	Explain the procedure to the patient.
11	Place the patient in a comfortable position.
12	Hand washing should be done as per hand washing policy and procedure and wears sterile gloves.
13	Open the ON& OFF pack. Second Nurse pours beta dine solution into the galipot
14	First Nurse does the dressing according to the policy and procedure.
15	Secure the catheter with dressing.
16	Wash and dry hands.	To prevent infection.
17	Check vital signs.	To assess patient’s condition.
18	Document the procedure in the Nursing Notes. Administer prescribed medication.

By aborashyd83

Attapulgite

Aspartame

Ascorbyl Palmitate

Ascorbic Acid