Emergency Dialysis Disconnect

Question 1

Home Dialysis Emergency Disconnect Medical Directive

What are the INDICATIONS?

Answer 1

Patient receiving home dialysis (hemo or peritoneal) and connected to dialysis
machine and requires transport to the closest appropriate receiving facility

AND

Patient is unable to disconnect

AND

There is no family member or caregiver who is available and knowledgeable in
dialysis disconnect

Question 2

Home Dialysis Emergency Disconnect Medical Directive

What are the CONDITIONS?

What are the CONTRAINDICATIONS?

Answer 2

N/A

N/A

Question 3

Home Dialysis Emergency Disconnect Medical Directive

Where do you locate the emergency disconnect kit for the dailysis machine?

What are you clamping prior to disconnecting?

Answer 3

Generally, emergency disconnect kit with materials and instructions can be found hanging from dialysis machine or nearby on the wall

Ensure both the patient side and machine side of the connection are clamped before
disconnecting and attaching end caps

Question 4

Home Dialysis Emergency Disconnect Medical Directive

What’s best practice?

What do you do if there are no instructions availiable?

Answer 4

use the materials and instructions that are typically found in the disconnect kit

the tubing should be clamped first on the patient side, secondly on the machine side, and finally separated in the middle