Session 3 & 4


Session 3 was a very interesting one for me as one of my needles fell out otherwise knowing as a blowing needle. Now don't panic and that's what i did not do as cool as anything i was able to stop bleeding but luckily the nurse was there and she was able to help me do the recirculation. In the mean time i stopped bleeding and was able to re needle again and get on and get treatment again. You can tell someone all you want on what to do when something happens but when you get first hand experinces at it it's more helpful. But am hope it not happen to me again. However if it does i know what to do.


In session 3 & 4 I've been mainly doing what I've done since session 1 the more you practice on setting up the machine and priming it, entering in the data UF, pump speed, time that better you'll get at it. I also take myself off and remove my own needles one at a time. I have also learnt how to drain the machine and remove all the lines and put sharps in the sharps bin and recycling in recycling bin.


So its now 4 session and i would feel very confident in setting up the machine and priming it and also feel happy to handle the alarms i must stress that the alarms are not like the old gambro  machines.

Bins

Baxter have delivered all my bins there is one big outside bin and i was happy to see it was GREEN and just had a yellow lid. The other bins are inside bins and can be kept in the room until they are full and then placed in the larger outside bin.

1 Large green bin
4 small yellow bins
2 needle bins
1 roll of yellow bags.

You can help yourself in so many ways by being proactive before you start your training i was very proactive in learning how to use the other machine and set it up etc.. However the home dialysis machine is a little different then the other machine but its the same concept in setting up. So if nothing else get use to the terminology, and get to know what dialyzer ,bi cart and concentrate your on. Also get to know when your not feeling well and what to do in this case the nurse will advise.

Another useful part is taken yourself off the machine and taken out your own needles. Learn how to do your own wash back and remove you own needles one by one of course. Also learn how to handle on what to do if you clot and if you can't wash back..

A useful place to start getting to know the machine is this website the following links will help you with this.

http://www.kimal.co.uk/dialysis+equipment.htm

The link will help you get to know what you'll learn while in training with the nurse.
http://www.kimal.co.uk/download/Nikkiso-Training-Guide.pdf

This link is the full operating of the dialysis machine it was useful to me to flick through after the first few dialysis session you'll not have to read it all so just go to the bits you feel you need to learn more about. It may be worth printing it all out as a  references but i did not as i ave it saved on my laptop.

http://www.kimal.co.uk/download/Nikkiso-Operating-Manual.pdf

Today the Builders came to make the modifications to the room. The first thing i seen was the new tripswtich in the hall this is the single tripswtich  thats required so that your not on the same box as the rest of the house. The Small box on the left is the new tripswtich.
The room requires a shower tray for the dialysis machine to sit on and as you can see the tray is neat and tidy. The size of the tray is roughly 4ft
by 3ft. I also required a sink in the room.

The Dialysis RO Systems has been put in place you can see it down by the rad it not completed yet. Also the electric sockets on the wall.