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PROVINCIAL STANDARDS & GUIDELINES

NxStage Nursing Manual Created: August 2015 Revised: December 2016 Approved by the Home Hemodialysis Committee PROVINCIAL STANDARDS & GUIDELINEST able of ContentsIntroduction .. NxStage Dialysate .. Dialysate rate and volume .. Extracorporeal Circuit .. Cartridges .. System Settings .. Anticoagulation .. Flow Fraction .. Blood Flow .. Alarms .. Giving Medications .. Transonic .. Pureflow SL and Water Testing .. References ..13 Appendix 1: Home Hemodialysis NxStage Machine Selection Tool ..14 Appendix 2: NxStage Heparin Protocol ..15 Appendix 3: Quick Reference Card to the MedFusion 3500 Syringe Pump ..21 Appendix 4: HHD Home Assessment and Water Results ..23 @BCRenalAgency IMPORTANT INFORMATIONThis BCPRA guideline/resource was developed to support equitable, best practice care for patients with chronic kidney disease living in BC.

NxStage Nursing Manual Created: August 2015 Revised: December 2016 Approved by the Home Hemodialysis Committee PROVINCIAL STANDARDS & GUIDELINES

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