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Acute Kidney Replacement Therapy (KRT) in Pediatric Patients: A National Survey Assessing Nursing Structure and
Kara Short1, Alyssa A Riley2, Kyle A Merrill3
1Acute Care Lead APP, Clinical Practice Coordinator, Pediatric and Infant Center for Acute Nephrology, UAB Department of Pediatric Nephrology, Children's of Alabama, Birmingham, AL.
Abstract:
Kidney replacement therapy (KRT) is an essential treatment for children with acute kidney injury, fluid overload, and toxin removal. Successful provision of KRT is important; however, no standard nursing education currently exists. The top 50 pediatric nephrology programs from the 2023 U.S. News & World Report and eight Canadian centers were surveyed regarding their KRT programs. Most programs perform KRT in three or more intensive care units (n = 31, 58.5%), use two or more machines (n = 44, 83%), and use two or more anticoagulation strategies (n = 34, 86.8%). There are multiple programmatic models utilized to set up, manage, and troubleshoot KRT. In 96% of institutions, education and competencies are standardized, yet methods vary. The survey reveals significant practice variation across institutions; however, KRT nursing education should be standardized to increase safety and improve outcomes.
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