Renal replacement therapy in critical care: implementation of a unit-based continuous venovenous hemodialysis program.
Implementing a program as complex as continuous venovenous hemodialysis without the involvement of nephrology nurses is a challenge. However, with proper planning, appropriate staff support, and the ability to make changes as implementation proceeds, a successful program can be developed. Our reward is that we are now able to offer a therapy that is important and potentially lifesaving to those critically ill patients with renal failure who are unable to tolerate intermittent hemodialysis.
Giuliano
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Baystate Medical Center, Springfield, Mass., USA.
Pysznik
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D058186:Acute Kidney Injury / Q000628:therapy*; D002983:Clinical Competence / Q000592:standards; D016638:Critical Illness; D003479:Curriculum; D017583:Hemodiafiltration / Q000451:nursing*; D006801:Humans; D007362:Intensive Care Units / Q000458:organization & administration*; D009741:Nursing Staff, Hospital / Q000193:education*; D016730:Program Development