What happens following a blood leak alarm?
- Blood pump will stop
- Arterial and venous clamps close
- Dialysate fluid will bypass the dialyser
Why?
To ensure no neat dialysate fluid passes through the rupture and into the patient's blood
Interventions to be performed
- Check blood pump has stopped
- Clamp both arterial and venous patients access and blood circuit lines
- Check fluid in dialysate tubes for signs of discolourisation
- Non-visible blood can be checked for by removing the out-flow dialysate tube and allowing some fluid from the dialyser to moisten a urine multistix
- True blood leak - dispose of the whole blood circuit. NEVER return any blood from the circuit to the patient
- Check patients observations (blood pressure, pulse, temperature, respiratory rate, O2 saturations)
- Re-prime a full dialysis circuit again and complete the patients prescribed dialysis
- Ensure the dialysis machine completes a heat citric internal disinfection following dialysis
- Record as a dialysis incident as per local protocol
- If the dialyser problem is manufacturing fault. Notify the manufacturer with the equipment batch and lot numbers and assess whether further stock needs withdrawing from use
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