Persiapan dan Pelaksanaan CAPD, Cuci Darah Lewat Perut

Summary

The video script provides a detailed step-by-step guide on performing a dialysis procedure using aseptic techniques. It covers crucial actions such as handwashing, preparing equipment, inspecting fluid bags, and connecting transfer sets to ensure proper setup. The process moves through phases including fluid draining, flushing, and refilling, with clear instructions on monitoring for clarity and preventing contamination. Finally, it concludes with disconnection and post-procedure safety checks, ensuring everything is sterile and ready for future use. The guide emphasizes safety, precision, and maintaining aseptic conditions throughout the procedure.

Takeaways

• 🧼 Wash hands thoroughly following the 6-step aseptic handwashing procedure before starting dialysis.
• 🛠️ Remove the transfer set from its packaging and prepare the twin bag for the procedure.
• 💧 Open the outer packaging of the dialysis fluid bag, place it on the table, and ensure the tubing is straight.
• 🔍 Check the fluid bag for clarity, ensure there are no leaks, and confirm the prescribed amount of fluid and dextrose concentration are correct.
• 📅 Verify the expiration date of the fluid and ensure it hasn’t passed.
• 🔒 Ensure the medical port and the tubing connectors are secure and undamaged before starting the procedure.
• 🔗 Connect the transfer set to the tubing using aseptic technique, making sure to avoid contamination.
• 💨 Begin the drainage phase by opening the twist clamp on the transfer set, allowing waste fluid to flow out of the abdomen, which takes 15-20 minutes.
• 🛠️ Perform the flushing phase by allowing fresh fluid to flow while removing any air bubbles from the tubing.
• 🔄 Start the filling phase by opening the clamp and letting the prescribed fluid flow into the abdomen, which takes about 10 minutes.
• 🧴 Once the filling phase is complete, disconnect the transfer set aseptically and replace it with a new one.

Q & A

What are the steps to follow before starting the dialysis procedure?

Before starting the dialysis procedure, wash your hands using aseptic handwashing techniques with six steps, then prepare the transfer set and twinbag according to the instructions.

How should the twinbag be prepared for use?

First, open the outer packaging of the fluid bag, place it on a table, straighten the tubing, and check the fluid bag carefully for clarity, the correct dextrose concentration, and any signs of leakage.

What should you check on the dialysis fluid bag before use?

Ensure the dextrose concentration matches the doctor’s prescription, the fluid is clear, the amount is correct, there are no leaks, and the expiration date has not passed.

What is the significance of using an aseptic technique during the procedure?

Using an aseptic technique prevents contamination, which is critical to avoid infection during the dialysis process. This includes handling equipment carefully without touching non-sterile areas.

What is the role of the drain phase in dialysis?

During the drain phase, used fluid is removed from the peritoneum. This phase takes about 15-20 minutes, and it's important to observe the clarity and flow of the waste fluid.

How can you tell when the drain phase is complete?

The drain phase is complete when the waste fluid is no longer warm or cool to the touch, indicating that all fluid has been drained from the peritoneum.

What is the purpose of the flash phase in dialysis?

The flash phase aims to remove any air from the tubing, preventing air bubbles from entering the peritoneum, which could cause discomfort or complications.

How long does the filling phase of dialysis take, and what happens during this phase?

The filling phase takes about 10 minutes, during which fresh dialysis fluid is introduced into the peritoneum through the transfer set.

What precautions should be taken during the disconnect phase?

During the disconnect phase, a new Minicaps should be prepared, checking the expiration date and povidone-iodine sponge. Ensure that the transfer set and connections are handled aseptically to avoid contamination.

What is the final step in completing the dialysis procedure?

After disconnecting and securely capping the transfer set with a new Minicaps using aseptic techniques, the dialysis procedure is complete.