Observations from the Field Concerning the Use of 1 mEq/L Potassium Dialysate, Equipment Monitoring, Staffing, and Total Chlorine Testing

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Patient safety and survey readiness should be top priorities for dialysis facilities. Hemodialysis is a complex process that redisposes staff and patients to possible errors and patient harm. Some observations seen by surveyors in dialysis facilities include an increased use in 1 mEq/L potassium dialysate, incomplete testing of hemodialysis machines, incorrect total chlorine testing, and staffing shortages. This article discusses the implications for the nephrology nurse in each of these situations.