Question & AnswerQ&A (DOH ADMINISTRATIVE ORDER NO. 2006-0037)
The dialysis nurse must have at least six (6) months of hospital/clinical work experience.
At least one nurse per shift must have Advanced Life Support training.
The dialysis technician is considered optional under the amended provision.
The dialysis station must have an area of at least two (2) meters by three (3) meters, exclusive of passageway or corridor.
No, separate dialysis machines are only designated solely for use of Hepatitis B patients.
Water must be analyzed for bacteria at least monthly and for chemicals at least every six months.
The bacterial count shall be less than 200 colony-forming units per cubic centimeter (col/cc).
Aluminum, chlorine, fluoride, and copper must be analyzed in the water.
Emergency drugs include Dopamine IV infusion, Isosorbide dinitrate tablets, Diazepam (tablets and IV), Hydrocortisone IV, Diphenhydramine maleate 50 mg/amp, Hypertonic Saline, D 50 W 50 cc vial, parenteral antihypertensives, Clonidine tablets, Calcium Gluconate, Epinephrine, Lidocaine, Salbutamol, and Sodium Bicarbonate IV solution.
Dialysis clinics must keep transfer/referral slips for patients transferred or referred, incident and accident logbooks documenting complications related to dialysis and vascular access, dialysis adequacy of patients on thrice weekly treatments, outcomes, and staff/patients' hepatitis status.
They are required to maintain minutes of facility staff meetings and reports of DOH inspections.
This order took effect upon approval and publication in the official gazette or a newspaper of general circulation.