Home Dialysis Emergency Disconnect Medical Directive

Question 1

Home Dialysis Emergency Disconnect Medical Directive

Answer 1

A Primary Care Paramedic may provide the treatment prescribed in this Medical Directive if authorized.

Question 2

Indications

Answer 2

Patient receiving home dialysis (hemo or peritoneal) and connected to dialysis machine and requires transport to the closest appropriate receiving facility;
AND
Patient is unable to disconnect;
AND
There is no family member or caregiver who is available and knowledgeable in dialysis disconnect.

Question 3

Conditions - Home Dialysis Emergency Disconnect

Answer 3

Age: N/A
LOA: N/A
HR: N/A
RR: N/A
SBP: N/A
Other: N/A

Question 4

Contraindications - Home Dialysis Emergency Disconnect

Answer 4

N/A

Question 5

Treatment

Answer 5

Consider Home Dialysis Emergency Disconnect

Question 6

Clinical Considerations

Answer 6

Generally, emergency disconnect kit with materials and instructions can be found hanging from dialysis machine or nearby on the wall.
Ensure both the patient side and machine side of the connection are clamped BEFORE disconnecting and attaching end caps.