What should a dialysis technician do when discovering a patient is not dialyzing with the prescribed dialysate?

When a dialysis technician discovers that a patient is not dialyzing with the prescribed dialysate, it is crucial to notify the registered nurse (RN) immediately to obtain further instructions. This is important because the composition of the dialysate is specifically tailored to meet the individual needs of each patient, based on their medical condition, treatment goals, and electrolyte balances. Any deviation from the prescribed dialysate could potentially lead to complications or ineffective treatment.

Prompt communication of the issue allows the RN, who has the clinical oversight role, to assess the situation quickly and determine the safest course of action for the patient. This might involve adjusting the dialysate composition, monitoring the patient more closely, or implementing other medical interventions as necessary. Taking immediate action ensures patient safety and adherence to the prescribed treatment plan, which is paramount in a dialysis setting.

In contrast, other actions, such as documenting the event without addressing the immediate concern, taking matters into one’s own hands without appropriate oversight, or delaying action until the treatment is complete, do not prioritize patient safety or effective communication among the healthcare team. Each of these alternate choices could lead to further complications for the patient or jeopardize the integrity of the treatment they are receiving.