在不断变化的时代保持水的安全:护士需要知道什么
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.
概括
安全的透析水和透析液对于血液透析 (HD) 和血液过 (HDF) 患者至关重要. 确保纯度可以保护患者,因为透析剂在HDF治疗期间直接接触到血液.
科学领域:
- 肝脏病学
- 生物医学工程
- 公共卫生
背景情况:
- 血液过 (HDF) 在美国越来越多地被采用.
- 透析水和透析剂的安全性对于患者的健康至关重要.
- 只有有限的专业技术人员需要更广泛的团队参与系统运行.
研究的目的:
- 强调安全的水和透析剂在血液透析 (HD) 和血液过 (HDF) 中的重要性.
- 审查确保安全透析液的重要组成部分和过程.
- 强调护理团队在维护患者安全方面的合作作用.
主要方法:
- 对水处理系统组件的审查.
- 透析缩剂制备方案的分析
- 对集成的HD/HDF系统的考量.
- 讨论基本的监测和测试程序.
主要成果:
- 在HDF中直接注入透析剂增加了对严格净化水的需求.
- 目前的员工配置模式往往将水系统的运行放在直接的护理人员手中.
- 为了防止患者受到伤害, 需要全面了解和严格测试.
结论:
- 对于HD和HDF患者的安全性来说,安全的水和透析剂是不可谈判的.
- 操作和监控透析液系统的多学科方法至关重要.
- 持续警和遵守最佳实践可以保护接受透析治疗的患者.
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