SN

Activity

Before

After

Total

1

Accessing supplies from common clean storage area

1

-

1

2

Preparing/setting-up the HD machine

^*

1

1

3

Preparing/administering medications (including for anticoagulation)

1

1

2

4

Pre-dialysis: measuring vital signs/weighing

^*

1

1

5

Preparing trolley/tray for cannulation

^*

1

1

6

Palpating clean cannulation sites

^*

1

1

7

Skin preparation & cannulation of arteriovenous access (AVF, AVG)

^*

1

1

8

Preparing trolley for catheter dressing^**

^*

1

1

9

Removing old dressing over catheter site^**

-

1

1

10

Catheter exit site dressing^**

^*

1

1

11

Connection for HD

1

1

2

12

Handling blood samples and other specimens

-

1

Minimum 1

13

Checking blood pressure (every 1/2 - 1 hour for 4 hours)

1

1

Minimum 8

14

Catheter/blood lines manipulation

1

1

Minimum 2

15

Adjusting machine parameters and/or attending machine alarms

-

1

Minimum 1

16

Attending to patient’s incidents/assisting patient

1

1

Minimum 2

17

Prepare trolley for dialysis disconnection

1

-

1

18

Disconnection of HD

1

1

2

19

Post-dialysis: measuring vital signs/weighing

^*

1

1

20

Cleaning/disinfection of dialysis equipment

^*

1

1

21

Leaving the dialysis unit

1

-

1

Total estimated minimum number of times hand hygiene is required per dialysis per patient

~30