Mr Dexter Catambay1, Mrs Sisilia Evans1
1WACHS Pilbara Renal Service, South Hedland, Australia
Biography:
Dexter Catambay is an accomplished clinician based in South Hedland WA. He established the renal outpatient service in Pilbara in 2024 and helped establish Karratha Dialysis Unit in 2025. He is a nursing leader recognized for his contributions to digital learning and rural health education in Pilbara as Head of Programs for NRTAFE prior to moving to WACHS Pilbara Renal Service as Clinical Nurse Consultant.
Sisilia Evans is an accomplished nurse manager of HHC SDU since 2022. Prior to being a nurse manager, she held the role of Registered Nurse, Clinical Nurse and Clinical Nurse Specialist in HHC SDU.
Abstract:
Background:
Dialysis nonattendance leads to medical complications including death. Even one missed HD session per month is associated with an increased risk of hospitalisation, emergency department attendance and increased mortality. Hedland Health Campus (HHC) Satellite Dialysis Unit (SDU) chair occupancy rate is 94.8%, below the required dialysis chair utilisation rate of >95% set by WACHS Kidney Disease Strategy 2021-26. The Missed Haemodialysis Session – Haemodialysis Treatment Guideline released by WACHS in 2024 is insufficient in addressing nonattendance necessitating the development of local SDU guideline.
Aim:
Collaboration between internal and external stakeholders in developing local guideline for HHC SDU addresses the gaps in Haemodialysis Treatment Guideline.
Improving health outcome of Pilbara renal clients and meeting Kidney Strategy on chair optimisation usage are overall priority of the project.
Methods:
The project involved internal and external consultation led by Clinical Nurse Consultant and Dialysis Nurse Manager over 6-month period.
Results:
Consultation outcome highlights the commitment of internal and external stakeholders for Pilbara dialysis clients. The collaboration project resulted in development of robust local SDU guideline contextualised to Pilbara. Early data show improvement in dialysis attendance and successful reintegration of missing dialysis clients back to SDU through assistance of Aboriginal Medical Service. The guideline also has positive impact on renal outpatients where 3 missing clients were reintegrated back to the service through joint efforts of stakeholders.
Conclusion:
This collaborative project emphasizes joint stakeholder efforts translating to improved dialysis attendance, reintegration of missing clients back to health service, and better health outcomes for Pilbara clients.