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RSA Conference 2024
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Establishing a Successful Nephrology Service at a Standalone Heart Hospital

Concurrent

Concurrent

9:45 am

14 June 2024

P10

Session 5b: Concurrent 2.1

Talk Description

454Q - Research Paper

Abstract
Aim:
To establish a Nephrology service at a stand-alone heart hospital, to allow for the provision of a haemodialysis service.

Method:
Development of the model of care for the service including processes, leadership and governance. The development of the Renal – Cardio Clinical Nurse Consultant (CNC) role to provide a liaison between the service and the offsite main nephrology unit. Education and training of staff from both sites. Set up of haemodialysis compatible bed spaces, implementing storage and supply processes. Clear communication of service capabilities and limitations. Streamlined communication between the main dialysis unit and the renal-cardio CNC. 

Results:
The establishment of 8 haemodialysis rooms and the successful provision of 124 haemodialysis treatments. We have seen no increase in on call demands since commencement. Key success has been linked to the defined role of the Renal-Cardio CNC. The ability of the CNC to provide key relationship building between all stakeholders, to be the visible point of reference for the nephrology service on site. 

Conclusion:
Whilst there has been challenges in setting up and providing haemodialysis services without a dedicated unit, we have been able to successful implement a “fly in fly out” service led by the Renal-Cardio CNC, Nephrology team and the Acute Haemodialysis unit. 

Presenters