PLANNING AKD-SHARIQUE

8/7/2019 PLANNING AKD-SHARIQUE

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Artificial Kidney Dialysis

Department

Shariq Ansari

Roll no.1

PGDHA



AKD DEPARTMENT

Introduction:* AKD department is a part of the nephrology department.

The service is primarily used to provide artificial

replacement for lost kidney functions (Renal Replacement

Therapy) in patient with acute Renal failure (sudden,temporary) 0R chronic/ permanent renal failure of variable

etiology.

� Depending upon the patient load the service may be running

one, two or even four shifts a day. Patient availing the

facility are generally day care patients, with a small

percentage of those admitted because of other problem and

having concurrent renal failure also, in which cases the

dialysis is carried out in the respective intensive care ward.



� Unlike other patients, the Dialysis patients are long term

patients, visiting the hospital once or twice a week for the

rest of their lives. Every visit involves a stay in the dialysis

center for 4-5 hours during which the procedure is carried

out to clean the blood and restore the body¶s internal

equilibrium of water and minerals (sodium, potassium,

chloride, calcium, phosphorus, magnesium, sulfate) and

removal of access metabolic load of the fixed hydrogen

ions.



Functions Of AKD Department

�

To provide effective dialysis without any complication.� To handle the complication immediately.

� Continuous monitoring of the vital parameters & generalcondition of the patient during dialysis.

�Instruction and information to the patient about procedure,diet & importance of dialysis.

� Counseling of the patients & his/hers relatives.

� To keep the record of the patients coming for dialysis.

� To prepare day to day & also shift to shift appointment listof the patients.

� Maintain the stock of the department.

� Training of the staff.



Planning DetailsLocation and Layout:

� Dialysis centre should be located away from the main traffic areasand preferably near the ICU.

� Accessible from CASUALTY.

� Accessible from C.S.S.D.

� Patient should be easily shifted to Operating Rooms or ICU.

� Waiting area for patients relatives.� Space for registration, RMOs & nursing station.

� It should have adequate bed space (14sqM/bed), number of bed asper the workload. For dialysis, dialysis chairs are best suitable.

� Separate room/ equipment for the HIV/ hepatitis positive cases,

� Space for storage of equipment and materials.

� Separate space for cleaning and safe keeping of Dialyzer of everypatient.

�

Space for consulting and counseling of relatives.



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PLANNING AKD-SHARIQUE

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