Dialysis Technician Requirements
- Dialysis technician position is now optional.
Dialysis Service Complex Requirements
- Dialysis Station must provide adequate space and privacy.
- Minimum dialysis station area changed to at least two (2) meters by three (3) meters (previously 8 m2), excluding passageways.
- Accommodation must include a dialysis chair, machine, and emergency equipment.
- Separate dialysis machines must be dedicated for Hepatitis B patients (exclusion of Hepatitis C machines).
- Facilities must include water treatment area.
Water Supply Standards For Dialysis
- Water supply must be adequate in volume and pressure.
- Water for dialysis must be analyzed monthly for bacteria and every six months for chemicals.
- Bacterial count must be less than 200 col/cc.
- Chemicals to be tested include aluminum, chlorine, fluoride, and copper.
- Water treatment must comply with acceptable dialysis techniques to ensure biological and chemical compatibility.
Equipment and Supplies for Dialysis Clinics
- Stethoscopes and sphygmomanometers provided as needed.
- E-cart stocked with:
- IV fluids and lines, including Insyt/Abbocath.
- Intubation set (endotracheal tubes, laryngoscope, ambubag).
- Emergency drugs like Dopamine IV, Isosorbide dinitrate tablets, Diazepam (tablet and IV), Hydrocortisone IV, Diphenhydramine maleate, hypertonic saline, D 50 W, parenteral antihypertensives, Clonidine tablets, Calcium Gluconate, Epinephrine, Lidocaine, Salbutamol, Sodium Bicarbonate IV solution.
- Others include goose neck lamp, standby rechargeable light, ECG machine, suction machine, defibrillator with cardiac monitor, stretcher, wheelchair.
- Standby generator minimum 20 kva.
- Fire extinguisher.
- Ambulance or contract service for patient transport.
- Water treatment equipment including multi-media filter, bulk filters, carbon filter, softener, reverse osmosis machine with storage tank.
- Acceptable disinfectants such as formalin (4%) and paracetic acid.
Patient Care Documentation
- Transfer/referral slip required for patients transferred or referred to other health facilities.
Incident and Accident Logbooks
- Must record complications related to:
- Dialysis procedures.
- Vascular access.
- Disease process.
- Include dialysis adequacy for patients undergoing thrice-weekly treatments.
- Document patient and staff hepatitis status.
- Include outcomes of treatments.
Administrative Requirements
- Maintain minutes of facility staff meetings.
- Keep reports of Department of Health inspections.
Repealing Clause and Effectivity
- The Order repeals and supersedes specified subsections of the prior Administrative Order No. 163 s. 2004 and other inconsistent issuances.
- The amendment takes effect upon approval and publication in the Official Gazette or a newspaper of general circulation.