The unit I have dialysis done at uses the partial bottle of bicard from one patient to the other. I discussed this concern with the unit manager and she sees no infection risk even though they are not disinfected between patients and they are not labeled when they are opened. I really don't want something used on another patient she says "it's too expensive" I need ammo to change her mind? Any CMS guidelines.
<Guest>
Posted
There is no guideline for this other than it must be used within 24 hours. If it is a prefilled (by the manufacturer) gallon jug then it should have te date and time marked on in wen it is opened. If the facility fills the jug, there must be a log tat includes date and time of mixing.
<E RN>
Posted
Bacteria will not survive in the bicarb dialysate, cultures are done routinely.
<North>
Posted
quote:
<E RN> Posted 26 September 2009 12:13 AM Bacteria will not survive in the bicarb dialysate, cultures are done routinely.
Respectfully you are wrong. Bacteria can survive in dialysate and thrive as well. Bicarb is an especially good place for bacteria to multiply. Bicarb should NEVER be shared among patients.
<Guest>
Posted
quote:
Originally posted by E RN: Bacteria will not survive in the bicarb dialysate, cultures are done routinely.
You are so wrong.
<bio>
Posted
North and Guest are correct Bacterica loves bicarb it will grow there the fastest. Acid on the other hand it cant survive in the acid.
