Auditing and Supervision of Staffing in Chronic Hemodialysis Units
Auditing Supervision of Dialysis Units Staffing of Chronic Haemodialysis Units Auditing Until a formal structure to audit dialysis in the country is established, it is recommended that all units perform a selfaudit annually. It is mandatory to submit annual data on all chronic dialysis and transplanted patients to the South African Renal Registry. The compliance of units with the National Guideli
Staffing of Chronic Haemodialysis Units
Auditing
Until a formal structure to audit dialysis in the country is established, it is recommended that all units perform a selfaudit annually. It is mandatory to submit annual data on all chronic dialysis and transplanted patients to the South African Renal Registry. The compliance of units with the National Guidelines will be monitored.
Supervision of Dialysis Units
Legislation has been drafted that will make it illegal for any unit to operate unless it is under the supervision of a nephrologist. In the event of a nephrologist not being available then a physician accredited by the South African Renal Society and ratified by Department of Health will be allowed to supervise under the guidance of a nephrologist.
Staffing of Chronic Haemodialysis Units
Medical staff should be readily available to attend to any emergencies. The overall care of patients on dialysis should be under the supervision of a nephrologist.
Other staff: The staff to patient ratio for chronic dialysis should be 1:4 (including nurses and clinical technologists). A registered nurse with experience in haemodialysis should be present in the dialysis unit at all times.
Paget G, Naicker S, et al. Guideline for the optimal care of patients on chronic dialysis in South Africa. South African Renal Society; 2015.