I live in Indiana. I've been on in-center nocturnal hemodialysis for almost a year. I may have to move soon, and I can't find any info on any other centers that offer the eight-hour, overnight care three times a week other than the one I go to. Does anyone know anything about the availability of this outside of my location?

It depends on where you are moving too and if you want in-center slow nocturnal or if your willing to do home slow nocturnal.

We have 2 centers for nocturnal incenter in the Akron area and they have a waiting list!

In-center nocturnal dialysis 3 times weekly seems like an innovative way to fully utilize dialysis chairs and machines that are not typically being used overnight and to give patients more dialysis and hopefully better outcomes without doing dailysis extra days that are currently not paid by Medicare. However, I have a couple of questions about in-center nocturnal hemodialysis:
1) For patients, how does going in-center for 8 hours over night affect your lifestyle and quality of life? It seems like many social activities take place in the evening and if you have a spouse and children, you have to leave them 3 nights a week.
2) For patients, how well are you able to sleep in a center with a number of other patients? It's one thing to do this for 1-2 hours during a normal dialysis shift, but what about overnight? Do you dialyze/sleep in a recliner or bed?
3) For facilities, how are your dialysis centers able to recruit nurses to staff facilities overnight when many facilities that offer conventional hemodialysis say they can't find nurses to work an evening shift that would allow more patients to work daytime hours?

Our patients do their treatments at home. They need a support person with them at all times.

We do not have in house nocturnal dialysis units, we basically stress the importance of self care. We teach them until they are ready. As well, there is 24 hour on call nursing staff, on hand just in case there is a problem.

Wondering if they have nocturnal home dialysis in the US?

So far this works well.

Yes, we have home nocturnal in the USA my father is on that modality. Our program does not insist on a partner because of computer monitoring. In regards to Beth question about lifestyle. Home nocturnal gave us back our life. We are not tied down during the day and able to meet all business, health, work and other appointments. At night there is a flexible time range in which we can start dialysis. Most of the time if nothing is going on dad is on the machine at 10pm. He can be on earlier or later but has to be off by 7am. Because we do dialysis 6 nights a week if it happens something is going on we can take a night off. Now instead of scheduling our life around the treatment time of the center we can schedule dialysis into our schedule.

In Geelong, Australia, for SNHD we do not use modem monitoring nor do we need a support partner. About half of our group do not have a support partner. However, I am grateful for the support my wife gives.
I agree with Marty's comments about the great advantages of the modality.

Coming soon to the New England area will be a home hemo program that will eventually move into nocturnal. Currently called TQMEDICAL.com

This in center nocturnal dialysis is a great idea ! It's perfect for those that are workng and it's a wonderful training ground for those that ultimately want to do nocturnal dialysis at home. Bravo! to the brain child behind this program.

In response to your questions....1) For patients, how does going in-center for 8 hours over night affect your lifestyle and quality of life?
I don't leave the house until 9:30,my children and husband are already in bed. As an RN it is no worse than working a night shift. I usually sleep 3 to 4 hours at the center,go home at 6:30, get my kids off to school and sleep from 9 to noon. It is much better than the 5 to 9pm I was doing before. I missed everything then. The 6 to 10am left me with no one to get the kids off to schooland feeling terrible all day.The 11 to 3 messes up your whole day!

2) For patients, how well are you able to sleep in a center with a number of other patients?
I honestly don't sleep well at the center although a number of patients do. I use a bed, a coupe of elderly gentlymen are more comfortable in a recliner. Most patients sleep from 11 to 5am and catch a nap during the day if they are tired.
My husband and I recently ran into the patient in the bed next to me up at the mall. He introduced himself as "the man who sleeps with your wife 3 nights a week!"
Fortunetly my husband thought it was funny!
3) For facilities, how are your dialysis centers able to recruit nurses to staff facilities overnight when many facilities that offer conventional hemodialysis say they can't find nurses to work an evening shift that would allow more patients to work daytime hours?
Our staff works Sunday, Tuesday and Thursday for 10 hours and get paid for full time. They have all day Friday (minus sleep time of course), Saturday and most of Sunday to do what they want. It works well with people with children in school. Another center recently tried Monday, Wednesday and Friday but had to close because of lack of staffing.
Who wants to spend most of Friday waitng to go to work and Saturday sleeping...

The Neprologist and cooperate wants to establish a noctunal dialysis program. How do I start and staff the program. Can you help us get information to sart this program.

What part of Washington are you requesting information.

I'm a patient, I am wondering what is the typical nurse to patient ratio for nocturnal dialysis?