Hemodialysis Clinical Outcomes Improvement Initiative. Student Name Norma Garcia Date: April 29, 2022

Hemodialysis Clinical Outcomes Improvement Initiative. Student Name Norma Garcia Date: April 29, 2022

1. Adequacy of Dialysis

   • Lab work
     • Draw samples in a timely manner following company regulations.
     • Anemia Management
       • Decrease Missed Treatments
         • Increase Compliance with Medications
           • Patient Education
             • Staff Education
               • Staff requires to be educated to increase knowledge about dialysis and treatment options
               • Fluid management
                 • Dietitian Counseling regarding fluid limit intake.
                 • Decrease Hospital Admissions
                   • Patients who missed dialysis have have more frequent visits to the ER department.
                   • Address Insurance Problems
                     • Lack of Transportation
                       • An important barrier that prevents patients to attend dialysis
                       • Lack of family support
                         • Comorbidities
                         • Depression
                     • Financial Advisro and Social Workers
                 • Lobby Education
               • Staff Monthly Meetings or Lunch Sessions
             • Evaluate Health Literacy
           • Medication review
         • Reschedule dialysis treatments
       • Anemia Manger
         • Must report alerts to nephrologist. Address results and protocols in a timely manner.
     • Laboratory Provider
       • Always double check labs results or alerts with the lab provider

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