KEY POINTS TO IMPROVE DIALYSIS FACILITY AT GOVERMENT TERTIARY CARE CENTRE IN RAJASTHAN, INDIA

Gupta Anju; Soni Sushil; Gupta Hemant Kumar

Volume : V, Issue : IX, September - 2016

KEY POINTS TO IMPROVE DIALYSIS FACILITY AT GOVERMENT TERTIARY CARE CENTRE IN RAJASTHAN, INDIA

Gupta Anju, Soni Sushil, Gupta Hemant Kumar

Abstract :

BACKGROUND AND OBJECTIVE: Dialysis is a treatment for people in the later stage of chronic renal insufficiency (kidney failure), means "Cleaning the blood". Blood is circulated through a machine, which contains a dialyser (also called an artificial kidney). The wastes and excess water pass from the blood through the memane into the dialysis fluid, which is then discarded. The cleaned blood is returned to the bloodstream. This paper was undertaken to address one of the major healthcare needs of Medical college Kota, that is, the lack of adequate Kidney Dialysis facility, which is a life support treatment for patients of renal failure. This forces many patients having to commute to private hospital for treatment. Dialysis unit requires a well planned strategy –Good planning, Good Design and construction, Good management. This study primarily deals with the planning aspects, assessing the need for the A.K.D. Centre & Conceptualization of the facility. METHODS:A detailed market survey was carried out over a period of 5 to 6 weeks in 2011, in Medical college kota & Kota city , S.M.S.Medical College Jaipur, & R.N.T.Medical College Udaipur,Rajasthan, to get an overview of the dialysis facilities there. CONCLUSION: Facility to reached out to maximum people we can manage all the problems by some efforts like : Awareness program�s about preventable diseases & start early treatment of diseases harmful to kidney, Increase dialysis machine according to load, separate machine for HbsAg, HCV,HIV pt�s, Increase staff & space according to load, Reduce wastage of time by timely deciding & timely cross reference, Usable items & dialysis fluids should be arranged in proper racks / place, All item , medicines & fluids should be free in govt. sector, Timely & freely vaccination reduce time & financial burden, Separate generator helps in uninterrupted dialysis, Require CMC of every machine.