Dialysis ESRD

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Trace DC82-13

DiraChart Clinical Reference
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1. Purpose and clinical relevance

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Daily-note bank — routine skilled days

Scenario

Model daily note (edit to the shift)

ESRD non-dialysis day

AV fistula with palpable thrill/audible bruit and limb protected, weight/volume at the dry-weight target, no uremic/overload symptoms, on renal diet/binder, next session coordinated. Skilled access/volume assessment and coordination required; supports the Section O dialysis item.

Post-hemodialysis

Tolerated treatment without intradialytic hypotension/cramping, access site without bleeding, weight at post target, BP stable, no disequilibrium, meds timed per order. Skilled post-dialysis observation required; supports Section O.

Peritoneal dialysis exchanges

PD exchanges per order with clear effluent, dwell per order, catheter site clean, weight/volume at target. Covered skilled PD procedure and assessment; supports Section O.

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