Louisiana State University Nephrology: Initiation of a Multicenter Urgent-Start Peritoneal Dialysis Program.

Louisiana State University Nephrology: Initiation of a Multicenter Urgent-Start Peritoneal Dialysis Program. Adv Perit Dial. 2016;32:11-14 Authors: Jaikishen A, Lick A, Owen JG, Naljayan MV Abstract Urgent-start peritoneal dialysis (PD) refers to the initiation of PD in new-start end-stage renal disease patients who present either emergently in the hospital or urgently in clinic. These patients are called "late-referred patients." Our academic practice group, like many private practice and academic groups, currently functions within 4 hospitals and 4 clinics. The patient base consists of a large indigent population with limited access to health care and also of insured patients. An urgent-start PD program was initiated to provide all patients with a choice of dialysis modality.Our faculty understood that, for their urgent-start PD program to be successful, they had to have the support of the house staff, hospitalists, surgeons, and the PD nurse. The education began with grand rounds on urgent-start PD in the medicine department. We also educated the hospitalists at the other private hospitals on our urgent-start program. Once the primary care services were comfortable with urgent-start PD, our nephrology group then educated the surgeons about best-practice guidelines for PD catheter placement. At that time, a direct feedback communication loop was created between the PD nurse, surgeon, and nephrologist about the placement and functio...
Source: Advances in Peritoneal Dialysis. Conference on Peritoneal Dialysis - Category: Urology & Nephrology Tags: Adv Perit Dial Source Type: research