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What is peritoneal dialysis (PD)?Getting ready for PD treatment
Getting ready for PD treatment
A clean environment is important. Germs can cause infections and are found on your skin and clothing. Antiseptic solutions can kill germs where regular soaps cannot. Carefully wash and dry your hands to protect your peritoneal dialysis catheter and exit site from germs.

Prepare your work area

The work area where you do your PD treatment should:
  • Be well lit
  • Be away from any drafts
  • Be away from open windows
  • Have all fans turned off
  • Be free of clutter
  • Not have pets in the area/room
  • Have a phone in the room and a flashlight in case of emergencies

For safe treatment, you should have a clean work surface that has been cleaned with a recommended cleaning agent and is large enough to arrange your supplies.

Gather your supplies

To get ready for your peritoneal dialysis treatment, you will need:
  • Solution bags
  • Clamps
  • MiniCap
  • IV pole or hook
  • Weight scale
  • Blood pressure cuff
  • Mask
  • Hand sanitizer
  • Pump soap
  • If needed, supplies for adding medications
  • Additional supplies as recommended by your nurse

When gathering your solution, remember to check for:

Expiration date
(or size of bag)

If the expiry date has passed, select a new solution bag, repeat the checks with the new solution bag, and continue your preparation. Notify your nurse of any problems with the dialysis solution bag. Also, it is important to check to see if the fluid in the bag is clear.

It is important to keep your packaged peritoneal dialysis supplies sterile by handling carefully.

Do not touch supplies that need to stay sterile in order to avoid infection.

What is sterile?

img sterile 1
Sterile means completely free of germs. It is important to keep germs from entering your peritoneal cavity. Safe connecting and disconnecting is done when you remember what parts of your supplies need to stay sterile. These supplies are packaged to keep them sterile and will need to stay sterile after the package is opened.

What is clean?

Screen Shot 2017 06 29 at 3.01.21 PM e1536168812287 300x96
Clean means most of the germs have been removed, but not all. Good handwashing and drying makes your hands clean, not sterile. Your work surface is clean, not sterile.

Aseptic technique

The aseptic technique is used to keep germs away from the sterile parts of your supplies and equipment. This will help keep germs from entering the peritoneal cavity and causing an infection (peritonitis). Putting on a mask, washing and drying your hands thoroughly as trained and remembering not to touch the sterile parts of your supplies are important steps in aseptic technique.

What do I do if a sterile part is dropped, touched or contaminated?

  • Throw it away and start with a new sterile supply
  • If you touch or believe you have contaminated your transfer set, DO NOT USE

Treatment: Connecting and disconnecting

img masque

Steps before connecting:

Use the aseptic technique when handling the solution bag(s) and supplies.
  • Ensure that area is well lit, all doors and windows are closed and that fans are turned off
  • Make sure work surface is clean
  • Gather needed supplies
  • Make your transfer set accessible
  • Put on a mask
  • Wash and dry your hands thoroughly as trained
  • Follow the recommended continuous ambulatory peritoneal dialysis or automated peritoneal dialysis connection procedures

Steps before disconnecting:

Use the aseptic technique when handling the supplies.
  • Make sure your transfer set is accessible
  • Put on a mask
  • Wash and dry your hands thoroughly as trained
  • Open a new disconnect cap package
  • Follow the recommended continuous ambulatory peritoneal dialysis or automated peritoneal dialysis connection procedures

Importance of handwashing

Handwashing is the most important thing you can do to protect yourself from germs and keep yourself healthy.
When preparing for your peritoneal dialysis exchange or exit-site care, the steps for handwashing include:
Gathering supplies:
  • Clean water
  • Antibacterial soap
  • Clean disposable towels
  • Alcohol hand rub
  • Face mask
Before you start:
  • Prepare clean work area
  • Gather supplies
  • Remove jewelry
  • Put on face mask
  • Remove catheter from under clothing
  • Use plenty of clean running water and antibacterial soap
  • Using good friction, rub soap over your hands, creating a good lather for at least 20 seconds
  • Wash well between fingers and underneath nails
  • Rinse hands under running water
Think clean:
  • Use a clean disposable towel to turn off the tap
  • Apply alcohol hand rub and rub hands together until dry (20–30 seconds)
  • Do not touch anything until you start your exchange
  • If you do touch something, wash and dry your hands again
  • Dry hands well using a clean disposable towel

Your dialysis nurse will teach you how to wash and dry your hands properly.