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The Dialysate Dilemma

Published on Nov 19, 2015

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PRESENTATION OUTLINE

1. OPERATIONAL PROTOCOL WAS NOT FOLLOWED

FIRST OF ALL YOU MUST BE QUALIFIED TO RUN ANY PIECE OF EUIPMENT

SECONDLY

MACHINE WAS NOT INSPECTED OR TESTED BEFORE USE.

2. IMPROPER TRAINING

TECH. USED DIALYSATE PUMP ON PATIENT IN SCUF MODE

SECONDLY

THE TECH. IGNORED SCREEN FLICKERING ON AND OFF.

3. TECH. FAILED TO READ MANUAL

STATES SPECIFICALLY TO MAKE SURE SCREEN IS WORKING PROPERLY BEFORE USE.

4. AGAIN FAILED TO FOLLOW PROCEDURAL PROTOCOL

TECH. NEEDED BIOMED TO COME TAKE A LOOK.

5. TECH. SHOULD HAVE CALLED BIOMED BACK.

WHEN HE COULD NOT RESOLVE THE ISSUE WITH THE SCREEN.

6. THE TECHNICIAN SHOULD HAVE SPOKE UP

THE TECH. FAILED TO CONTACT HIS DIRECTOR.

7. THE DIRECTOR NEEDS TO TAKE RESPONSIBILTY

IT IS ULTIMATELY THE DIRECTORS FAULT FOR NOT TRAINING ADEQUATELY

8. IMPROPER STORAGE PREPARATION

DIALYSATE WAS STORED RIGHT NEXT TO CLEANING SOLUTION.

EVIDENCE OF NEGLECTFUL MAINTENANCE

HIGH BUILD UP OF SALT AROUND PIPING AND CONNECTIONS.