変化 する 時代 に おい て 水 の 安全 を 保つ: 看護師 が 知ら なけれ ば なり ませ ん
Glenda M Payne1,2,3, Jim Curtis4,5,6
1Co-Founder and Principal of the National Dialysis Accreditation Commission and a member of the Association for the Advancement of Medical Instrumentation (AAMI) Renal Disease and Detoxification Committee.
まとめ
安全な透析水と透析液は,血液透析 (HD) と血液濾過 (HDF) の患者にとって重要です. HDF治療中に透析液が血流に直接接触するので,純粋さを確保することで患者を保護します.
科学分野:
- 腎臓科
- 生物医学工学
- 公衆衛生
背景:
- 米国ではヘモディアフィルタレーション (HDF) がますます採用されている.
- 透析水と透析剤の安全性は 患者の健康にとって極めて重要です
- 限られた専用の技術スタッフは,システムの運用により広範なチームの関与を必要とします.
研究 の 目的:
- 血液透析 (HD) と血液濾過 (HDF) で安全な水と透析液が極めて重要であることを強調する.
- 安全な透析液の準備を保証するための重要な構成要素とプロセスを検討する.
- 患者の安全を維持するための 医療チームの協力的な役割を強調する.
主な方法:
- 水処理システムのコンポーネントのレビュー
- 透析剤濃縮剤の準備プロトコルの分析
- 統合されたHD/HDFシステムの検討
- 重要なモニタリングとテスト手順の議論
主要な成果:
- 透析液をHDFに直接注入すると,厳格な水浄化の必要性が高まります.
- 現在の人員配置モデルでは,水道システムの運営を直接の介護スタッフに委ねています.
- 患者を傷つけないようにするには 徹底した理解と厳格な検査が不可欠です
結論:
- 安全な水と透析剤はHDとHDFの患者の安全のために交渉できない.
- 透析液システムの操作とモニタリングに多学科的なアプローチが不可欠です.
- 継続的な警戒とベストプラクティスの遵守は,透析治療を受けている患者を保護します.
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