Staff For Peritoneal Home Program

[sharon Vanderpool R.N.C.H.N.]

sharon Vanderpool R.N.C.H.N. posted the following article in the Peritoneal Forum
http://forums.dialysis.net/renal/pd.htm

Dated : March 15, 1998 at 12:44:52
Subject: Staff For Peritoneal Home Program
http://forums.dialysis.net/renal/messages/pd/188.html

The unit I work in is a hospital based unit providing 26 outpts.with home peritoneal dialysis,and 75 out pts hemodialysis. Our staffof 16 ft RN's,4ftLPN/TECH are all providing this service. We have identified the need to separate the two. Having a hemo coordinator we are looking at creating a peritoneal coordinator. I'm interested in knowing ratio's of pts./nursee 2. How do other units provide services to both pts. 3. how do you provide both equal quality? any feedback would be most helpful

[Unknown]

jerry posted the following article in the Peritoneal Forum
http://forums.dialysis.net/renal/pd.htm

Dated : March 15, 1998 at 18:02:55
Subject: Re: Staff For Peritoneal Home Program
http://forums.dialysis.net/renal/messages/pd/189.html

Sharon
To split away from a hosp is hard but my opinion is that in peritoneal a ratio of 20/1 is the max if you are looking at quality of pt care. also pd nurse needs to have a lot of experience because most md depend alot on the pd nurse. this creates a problem in that the stress in pd is different then in hemo. pd is a lot of telephone triage alot of pr work and recruiting alot of teaching of pt and families in clinic and on the phone. so hemo side looks at the pd nurse as not doing alot of work but we do its different kind of work. If you have a good pd nurse give her all that you can because in the long run it will make more money for the unit if the nurse gets a good bond with the pt and gets them to be compliant and out of the hosp. The MD's and pd nurse have to get along well also. hope info helps email me if you want more of my opions