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 |