520
Detailed Needs and Requirements: Hemodialysis Unit
529.1.5
Trends
The V.A. may well assume an increasing role in community care. This
would undoubtedly bring about an increased demand for hemodialysis
facilities in V.A. hospitals.
As more efficient, compact, and economic dialysis equipment is developed
there may be an increased dependence on home dialysis. Facilities for
training in home dialysis would therefore be indispensable in the
hemodialysis unit. On the other hand, long range studies of dependency
on dialysis equipment and procedures may tend to place higher value on
transplantation, if immunosuppression problems can be managed, and if
adequate donor supplies are available.
529.2
FUNCTIONAL REQUIREMENTS
529.2.1
Functional Relationships
Figure 520-9 previously illustrated the optimum organization of
hemodialysis, clinical studies and gastroenterology units. In addition,
close proximity to medical intensive care units would be desirable.
529.2.2
Space Requirements
1. Patient Room
Two types of patient rooms may be included on the hemodialysis unit:
a. Single bed rooms to be used for patients who are critically ill or
isolated.
b. A multiple bed room for other patients.
Services at each patient bed station should include oxygen, vacuum,
compressed air, power and dialysate disposal. Terminals should be
provided at all beds for physiological monitoring equipment.
2. Patient Shower and Toilet Facilities
A separate toilet and lavatory should be provided for each single bed
room in addition to a shared toilet and lavatory for each multiple bed
room. The need for bathing will occur but not for all patients. One
shower is considered adequate for most units.
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