Clean the peritoneal dialysis (PD) catheter exit site
6
Connect the dialysis solution bag to the PD catheter
7
Open the clamp on the PD catheter tube
8
Allow the dialysis solution to flow into the abdomen
9
Once the bag is empty, clamp the PD catheter tube
10
Disconnect the empty bag from the PD catheter
11
Dispose of the used bag and tube
12
Monitor patient for any signs of discomfort or adverse reactions
13
Record the volume and color of the drained fluid
14
Approval: Clinical Nurse Specialist to review the procedure and patient's response
15
Document the procedure in the patient's medical record
16
Clean and store the PD equipment
17
Wash hands thoroughly after the procedure
Wash hands thoroughly
Before beginning the peritoneal dialysis procedure, it is crucial to wash your hands thoroughly. This step helps prevent the spread of germs and reduces the risk of infection. Use warm water and soap, lather for at least 20 seconds, and scrub the front and back of your hands, between your fingers, and under your nails. Rinse your hands well and dry them with a clean towel or disposable paper towel.
1
Liquid soap
2
Antibacterial soap
3
Foam soap
4
Bar soap
5
No soap
1
Turn off faucet with towel
2
Use hand sanitizer after washing
3
Apply lotion to prevent skin dryness
4
Use a nail brush to clean under nails
5
Sing happy birthday while washing
Gather all necessary supplies
To ensure a smooth and efficient peritoneal dialysis procedure, gather all the necessary supplies beforehand. This step will save time and prevent interruptions during the process. Check the checklist and make sure you have items such as dialysis solution bags, clean towels, gloves, catheter exit site cleaning supplies, clamps, disposal bags, and monitoring equipment within reach.
1
Dialysis solution bags
2
Clean towels
3
Gloves
4
Catheter exit site cleaning supplies
5
Clamps
6
Disposal bags
7
Monitoring equipment
8
Other (specify)
Check expiry dates on all materials
Before proceeding with the peritoneal dialysis procedure, it is important to check the expiry dates on all materials. Expired supplies may not be effective or safe for use. Inspect the dialysis solution bags, cleaning supplies, catheter tubes, and any other equipment for expiration dates. If any materials are expired, dispose of them properly and replace them with fresh supplies.
1
Dialysis solution bags
2
Cleaning supplies
3
Catheter tubes
4
Other materials (specify)
Put on clean gloves
Put on clean gloves before handling any sterile equipment or coming into contact with the patient. This step helps maintain a sterile environment and reduces the risk of infection. Choose the appropriate glove size and ensure they fit properly. Avoid touching non-sterile surfaces while wearing gloves.
1
Small
2
Medium
3
Large
4
Extra-large
5
Not sure
1
Double glove for added protection
2
Use powder-free gloves
3
Dispose of gloves properly after use
4
Check gloves for any tears or holes
Clean the peritoneal dialysis (PD) catheter exit site
Cleaning the peritoneal dialysis (PD) catheter exit site is crucial to prevent infection. This step helps remove bacteria or debris around the catheter, reducing the risk of contamination. Use the provided cleaning solution and sterile gauze pads to gently clean the area. Be careful not to tug or pull on the catheter.
1
Saline solution
2
Antiseptic solution
3
Sterile water
4
Soap and water
5
Other (specify)
Connect the dialysis solution bag to the PD catheter
Connecting the dialysis solution bag to the PD catheter is an essential step in the peritoneal dialysis procedure. This allows the transfer of the dialysis solution into the abdomen for filtration. Follow the manufacturer's instructions to ensure a secure and leak-free connection.
1
Remove protective cap from catheter
2
Prepare the end of the dialysis solution bag tubing
3
Insert tubing into catheter connector
4
Secure the connection with clamp or twist
5
Confirm there are no leaks
Open the clamp on the PD catheter tube
Opening the clamp on the PD catheter tube is necessary to allow the flow of dialysis solution into the abdomen. Grasp the clamp firmly and slide it open to initiate the transfer. Ensure that the connection is secure and in place to prevent any leakage or accidental removal of the tube.
1
Double-check the connection
2
Monitor the flow rate
3
Ensure the clamp remains open during the entire procedure
Allow the dialysis solution to flow into the abdomen
Allowing the dialysis solution to flow into the abdomen is a passive process that occurs as the result of gravity. Ensure the dialysis solution bag is elevated higher than the patient's abdomen to enable a smooth flow. Monitor the flow rate and adjust the height if necessary.
1
Measure the flow rate
2
Adjust the height if needed
3
Observe the patient for any discomfort
4
Check for signs of leakage around the catheter
Once the bag is empty, clamp the PD catheter tube
When the dialysis solution bag is empty, it is time to clamp the PD catheter tube. Closing the clamp prevents any air or fluid from entering or exiting the abdomen. Ensure the clamp is secure and there are no leaks before proceeding to the next step.
1
Verify the bag is completely empty
2
Inspect the clamp for proper closure
3
Check for leakage around the tubing
Disconnect the empty bag from the PD catheter
Disconnecting the empty bag from the PD catheter is necessary to prepare for the next step in the peritoneal dialysis procedure. Safely remove the tubing from the catheter connector, ensuring no fluid spills or leaks. Dispose of the empty bag properly.
1
Hold the catheter connector firmly
2
Pull the tubing away from the connector
3
Check for any leaks or spills
4
Dispose of the bag in the designated container
Dispose of the used bag and tube
Proper disposal of the used bag and tube is essential to maintain a clean and hygienic environment. Place the used bag and tube in a designated disposal bag or container. Ensure the container is securely closed and labeled according to the facility's guidelines.
1
Place the bag and tube in the disposal bag
2
Seal and secure the disposal bag
3
Label the bag with date and time
4
Follow facility guidelines for disposal
5
Other (specify)
Monitor patient for any signs of discomfort or adverse reactions
Monitoring the patient for any signs of discomfort or adverse reactions is crucial during and after the peritoneal dialysis procedure. Pay attention to the patient's facial expressions, vital signs, and verbal communication. Note any changes or symptoms and report them to the healthcare provider immediately.
1
Abdominal pain or discomfort
2
Nausea or vomiting
3
Fever or chills
4
Redness or swelling around the catheter site
5
Shortness of breath
Record the volume and color of the drained fluid
Recording the volume and color of the drained fluid helps track the patient's progress and provides valuable information for the healthcare provider. Measure the volume of the drained fluid using a graduated container and note it down. Observe the color of the fluid and compare it to the expected range provided by the healthcare provider.
1
Clear
2
Yellow
3
Cloudy
4
Pink
5
Other (specify)
Approval: Clinical Nurse Specialist to review the procedure and patient's response
Will be submitted for approval:
Connect the dialysis solution bag to the PD catheter
Will be submitted
Document the procedure in the patient's medical record
Documenting the peritoneal dialysis procedure in the patient's medical record is essential for maintaining accurate and thorough healthcare records. Follow the facility's guidelines and use the appropriate forms or electronic systems to document the procedure details, including the date, time, specific steps performed, any observations, and any notable findings. Ensure the documentation is clear, legible, and comprehensive.
1
Use appropriate forms or electronic systems
2
Include the date and time of the procedure
3
Specify the steps performed
4
Record any observations or findings
5
Ensure documentation is clear and comprehensive
Clean and store the PD equipment
Cleaning and storing the peritoneal dialysis (PD) equipment properly is crucial for maintaining a sterile and functional system. Follow the facility's guidelines for cleaning and disinfecting the equipment. Use appropriate cleaning solutions and techniques, ensuring all surfaces and connectors are thoroughly cleaned. Once clean, store the equipment in a clean and designated area, ready for future use.
1
Follow facility's cleaning and disinfection guidelines
2
Use appropriate cleaning solutions and techniques
3
Thoroughly clean all surfaces and connectors
4
Ensure equipment is dry before storage
5
Store equipment in a clean and designated area
Wash hands thoroughly after the procedure
After completing the peritoneal dialysis procedure, it is vital to wash your hands thoroughly. This step helps to remove any potential contaminants or pathogens and maintain personal hygiene. Use soap and warm water, lathering for at least 20 seconds before rinsing and drying with a clean towel.
