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Identification of unplanned activity in a regional home dialysis training unit

Lewis , S. and White, Yvonne (2013). Identification of unplanned activity in a regional home dialysis training unit. Renal Society of Australasia Journal,9(3):130-135.

Document type: Journal Article
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Title Identification of unplanned activity in a regional home dialysis training unit
Author Lewis , S.
White, Yvonne
Journal Name Renal Society of Australasia Journal
Publication Date 2013
Volume Number 9
Issue Number 3
ISSN 1832-3804   (check CDU catalogue open catalogue search in new window)
Scopus ID 2-s2.0-84901458615
Start Page 130
End Page 135
Total Pages 6
Place of Publication Australia
Publisher Renal Society of Australasia
Abstract Aim: To investigate how much time was taken by unplanned activities within a home dialysis training centre.
Background: Training patients for home dialysis is frequently interrupted by unplanned events, which impact on home

Method: This study was a quality improvement project conducted over a four-week period. Data was collected during this
period and included the number of telephone calls and unexpected visits from home dialysis patients into the home dialysis
training unit.

Results: Findings from the study reported a total of approximately 24.5 hours of staff time was taken for unplanned activities
during the four-week period of data collection. The unplanned activities included: technical troubleshooting; issues around fluid
management; medication prescriptions; and monthly blood forms.

Conclusion: Unplanned activities take a substantial amount of staff time and there are a range of potential changes to work
practices that may assist in minimising this unplanned activity. Reducing unplanned activity time would allow more time for
teaching patients the home dialysis procedure, resulting in reduced training times.
Keywords Access adequacy
Nursing staff
Renal clinic
Unplanned activities
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Created: Fri, 29 Aug 2014, 16:40:48 CST by Anthony Hornby