Source:
The Pradhan Mantri National Dialysis Program (PMNDP), launched in 2016 is a mission to provide dialysis services to the patients under this program. ln-house mode haemodialysis services development is an integral component of this program. The order obligates the ESIC Hospitals to develop in-house haemodialysis facilities for better care, integrated service delivery for critical patients and overall beneficiary satisfaction. For a proper and efficient implementation of the order, the notification outlines a detailed procedure so that comprehensive health care facilities can be provided to the Insured Persons (IPs) and the Beneficiaries.
The idea of developing in-house dialysis facilities would not only help in better care including the investigation and monitoring of the patients but would also help in capacity building of their own staff as dialysis technicians. The guideline mandates the reserving of certain day care beds to provide in-house dialysis in every hospital. The number of dialysis beds to be reserved depends upon the total number of beds in that hospital. For instance, an hospital with 100 beds is required to reserve four of them and a hospital with 500 beds is required to 8 beds for dialysis. The process of establishing the In-house Dialysis Unit shall be initiated by the Broad Speciality Department and the Doctors/Residents may be posted as per the requirements. The Patient Nurse ratio must be 3:1 and there must be one dialysis technician to manage maximum of 3 dialysis machine/per shift. The guideline recommends a minimum staff-pattern which includes Nephrologist, Dialysis doctors, Dialysis technicians, Dialysis nurses, Dialysis attendants, etc. It also mentions the minimum training and job responsibilities every job holder is required to fulfil.
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