Meeting ultrapure standards for water quality.
The Ottawa Carleton Dialysis Clinic has undertaken the task to meet ISO 23500 standards for ultrapure water quality and dialysate. The reason for this is to perform online priming, as well as hemodiafiltration on our Fresenius 5008 hemodialysis machines. Online priming is the priming of the extracor...
| Publicado en: | CANNT Journal Vol. 22; no. 2; pp. 15 - 16 |
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| Formato: | abstract Journal Article |
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Canadian Association of Nephrology Nurses & Technologists
Apr-Jun2012
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104488011&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 104488011 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 14985136 VS2 jtl: CANNT Journal issn: 14985136 maglogo: N pubinfo: dt: Apr-Jun2012 vid: 22 iid: 2 pid: 19504 pub: Canadian Association of Nephrology Nurses & Technologists place: Kingston, Ontario artinfo: ui: 104488011 104488011 2011631455 104488011 ppf: 15 ppct: 1 formats: fmt: @attributes: type: P tig: atl: Meeting ultrapure standards for water quality. aug: au: Heathcote, Mark sug: subj: Dialysis Solutions Standards Hemodiafiltration Standards Water Standards Dialysis Centers Ontario Dialysis Equipment and Supplies International Organization for Standardization Ontario ab: The Ottawa Carleton Dialysis Clinic has undertaken the task to meet ISO 23500 standards for ultrapure water quality and dialysate. The reason for this is to perform online priming, as well as hemodiafiltration on our Fresenius 5008 hemodialysis machines. Online priming is the priming of the extracorporeal circuit with dialysate instead of saline. Hemodiafiltration is the injecting of dialysate directly into the extracorporeal circuit during dialysis either pre or post dialyzer. The criteria in meeting these standards involve having clean RO water, a hemodialysis machine capable of online priming and hemodiafiltration, a good disinfection process, and a good sampling process. We had to meet the challenges of finding a microbiology lab that would test low enough to meet ISO 23500 standards, finding a method and process to obtain samples from the Fresenius 5008 machine consisting of one sample of substitute and one sample of dialysate, as well as going through a validation phase of weekly testing for bacteria and endotoxins for a month. This required the testing of all our dialysis machines, as well as the reverse osmosis water treatment unit. By meeting ultrapure standards for water quality, we ensure a safer treatment for the patient, the treatment option of hemodiafiltration, as well as online priming to minimize saline bag use. This will result in more effective and efficient methods of dialysis. pubtype: Academic Journal doctype: abstract Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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