HD summer15d
 BIL1581Adjacent to ward E17 is the Elizabeth Ward Haemodialysis Unit.  This is a purpose built unit designed to treat up to 8 patients from birth to transitional age receiving haemodialysis.  The unit was built with a generous donation from the British Kidney Patients Association.  A further six dialysis stations are situated throughout the Children’s Hospital and are used primarily for treating acute patients. These are located in the following areas:

3 stations on ward E17 (Space Bay and Cubicle 4)
2 Stations in PICU
1 Station in PHDU


All haemodialysis is currently undertaken in hospital but the option of performing the therapy at home is currently being reviewed and should be an available in the near future. Patients who receive chronic haemodialysis do so by choice or when peritoneal dialysis is not appropriate.

Our current recommendation for access suggests the insertion of a tunnelled central venous line in all patients of all ages requiring haemodialysis. For those older children in whom an early transplantation is not anticipated, formation of an arterio-venous fistula may be discussed and where possible formed in advance of commencing treatment.

The haemodialysis unit is staffed by 3.3 WTE dedicated haemodialysis nurses. Numbers of children on haemodialysis varies considerably over time and 
the staffing gap is filled by regular input from the specialist renal nurses.

 BIL1570The unit has an average workload of approximately 2000 treatments in 25 patients per year. On average, children are required to attend for their therapy three times a week, but this can be up to six times a week depending on their size and condition. Children under the age of 5 years receiving haemodialysis require 1:1 nursing for the duration of their therapy. 


The unit currently uses Gambro AK200 Ultra machines for the provision of haemodialysis and owns 11 to enable rotation for servicing. These machines can be used for haemodiafiltration when required. There is an informal machine replacement programme in place through the trusts capital equipment provision. Haemodialysis machines over 10 years of age are replaced to avoid unnecessary breakdown and cost of maintenance.

 

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School-age children and young people receive some of their education from the Nottingham Children's Hospital teachers who liaise with their own schools and colleges so they can continue the same subjects while they dialyse.  More information about the hospital school is available on the education pages and the hospital school website.