| Theme | Revisit of Clinical Path in Renal Replacement Therapy | |
|---|---|---|
| Title | Clinical path for blood access surgery | |
| Publish Date | 2005/03 | |
| Author | Tomomasa Oguchi | Dialysis Renal Failure Center, Aizawa Hospital |
| Author | Setsuko Takahashi | Department of Nursing, Aizawa Hospital |
| Author | Masayoshi Takamizawa | Department of Clinical Engineering, Aizawa Hospital |
| Author | Yutaka Kanno | Dialysis Renal Failure Center, Aizawa Hospital |
| [ Summary ] | Clinical paths (CP) are expected to improve the quality of medical care. However, for patients receiving blood access surgery for maintenance hemodialysis there are various conditions, and operations available for blood access. Accordingly, it is difficult to standardize the daily schedule for hemodialysis and the periods when blood access will become usable after operations. We separated the CP used in hemodialysis stations from the CP used in wards. The CP used in hemodialysis stations combined with the CP in wards was applied properly in our hospital. In CP at hemodialysis stations, the staff punctured specific new blood access points, and the use of tourniquets was restricted. Observed points for early discovery of complications, and differences in periods when each kind of blood access became usable were expressed clearly. Various kinds of blood access surgery may be standardized, and the indications for CP may be extended. | |