Nurses in dialysis and nephrology
Who they are, what they do and which devices they use: a research-based profile for recruiting this target group for MedTech and pharma projects.
Overview
Dialysis nurses care for people with acute and chronic kidney disease in all phases of illness, from the time before dialysis to transplantation. They carry out renal replacement therapies such as haemodialysis, haemofiltration and haemodiafiltration and monitor the treatment, including anticoagulation. Their tasks include cannulating and caring for vascular accesses such as AV fistulas, prosthetic shunts and catheters, as well as managing complications. They look after peritoneal dialysis and home dialysis and train patients and caregivers, for example in self-cannulation. Hygiene including requirements for devices and water treatment, nutritional counselling, diabetes management and wound care are also part of the field. In acute situations they assist with continuous therapies and special procedures such as lipid apheresis, immunoadsorption and plasma separation.
Profession by country
Fields of use and typical tasks
Dialyse
Evidence from: DE, AT, CH
- Look after haemodialysis including haemodiafiltration and citrate dialysis
- Assist with continuous therapies (CVVH, CVVHDF) in the intensive care unit
- Look after peritoneal dialysis: training, CAPD, cycler therapy and intermittent treatment at the centre
- Provide dialysis for patients with hepatitis, HIV or multidrug-resistant organisms in an isolation unit
- Provide guest and holiday dialysis and dialysis during inpatient geriatric stays
- Look after chronic haemodialysis patients in sessions lasting several hours, usually three times a week
Specializations
Devices and systems they use
Who they work with
- Nephrologists
- Vascular surgery (creation and revision of dialysis shunts)
- Angiology (shunt diagnostics and shunt interventions)
- Transplant coordination
Frequently asked questions
Who operates the dialysis machine during treatment?
Nurses carry out and monitor haemodialysis, haemofiltration and haemodiafiltration, including device technology, anticoagulation and error and risk management.
Who cannulates and assesses the vascular access?
Nurses cannulate AV fistulas and prosthetic shunts, assess the shunt clinically and with devices, and care for catheters with dressing and fixation techniques.
What role does patient training play?
For home haemodialysis and peritoneal dialysis, nurses train and advise patients and caregivers, including on self-cannulation, and evaluate the training results.
Which other procedures are they involved in?
Besides haemodialysis and peritoneal dialysis, they assist with continuous acute therapies and with lipid apheresis, immunoadsorption and plasma separation.
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Related target groups
Same work area
Same specialty
Sources
- Anlage V: Pflege in der Nephrologie (Module der Fachweiterbildung), Deutsche Krankenhausgesellschaft (Weiterbildungsempfehlung, Modulbeschreibung), bereitgestellt vom Ausbildungszentrum für Gesundheitsfachberufe der Universitätsmedizin Magdeburg (DE)
- Flyer Dialysezugang: Interdisziplinäres Shunt-Referenzzentrum, Alfried Krupp Krankenhaus, Klinik für Gefäßchirurgie und Angiologie (DE)
- Dialyse, KRH Regionales Gesundheitszentrum Lehrte, Klinikum Region Hannover GmbH (DE)
- 40 Jahre Dialyse Eisenstadt: Entwicklung und Team, Krankenhaus der Barmherzigen Brüder Eisenstadt (AT)
- Fachhochschullehrgang Pflege bei Nierenersatztherapie, Arbeitsmarktservice Österreich (AMS), Ausbildungskompass (AT)
- Presseinformation: Dialyseausbau im Klinikum Wels-Grieskirchen, Klinikum Wels-Grieskirchen (AT)
- Informationsbroschüre Dialyse-Station, Universitätsspital Basel, Klinik für Transplantationsimmunologie und Nephrologie (CH)
- Renal Services / Dialysis, Unit Scope, UF Health Shands Hospital (Gainesville, Florida) (US)
- The Role of the Registered Nurse in Nephrology, American Nephrology Nurses Association (ANNA) (US)
- Home Therapies, Dialysis Clinic, Inc. (DCI) (US)