Dimitrovgrad (Ulyanovsk region). Opened branch dialysis

   In clinical hospital № 172 of FMBA Russia began work department dialysis. Now the citizens the opportunity to undergo renal replacement therapy without having to travel to the regional center

   According to the portal "Three sosny.rf" department dialysis pleases the eye: two rooms for patients — large and small, doctor's office, a senior nurse, room and meals for patients, spacious rooms with lockers for storing clothes and valuables. The department considered all that is left of the patient only favorable memories.

   The purity and sterility in the surgical department at the level of divisions, because patients are specific: here take people suffering from kidney failure in the terminal stage. Each patient's own bleak story, but they are united by one thing — we all suffer as a result of kidney migrated or proceeding diseases, most commonly, hypertension and diabetes, and chronic kidney disease.
  
   Each patient at the entrance (who, incidentally, is separate from the entrance to the emergency room multidisciplinary hospital number 1) meets nurse, accompanying the room where the patient changes into a gown or pajamas, and clothes and valuables left in a locked cabinet. After that, the patient was invited to the office to the doctor, where he held a preliminary medical examination: the doctor asks about the patient's state of health, measures the pressure weighing on electronic scales and guides on renal replacement therapy.

   Therapy sessions are held in two rooms: a large stand five artificial kidney «ARTIS», in the small — two, one of which is redundant. All of them are the last generation, designed by one of the world leaders in this field — the Swedish company «GAMBRO», co-production — the Swedish-Italian. In December 2010, these devices have been successfully tested in a Moscow medical institutions. Currently, the latest generation of Russian vehicles «ARTIS» a little, a few months ago when they came to a university hospital, Dimitrovgrad was only the third city where such medical equipment was delivered.

   The equipment is very expensive, with lots of features. For example, during a therapy session «ARTIS» operator request can in real time inform how the patient pressure, the total amount of hemoglobin, etc.  
But no matter how good the equipment was not without experts it will not work. Therefore, the selection of personnel in the Department of dialysis and their training came thoroughly. In 2010, two doctors at the hospital were trained in Nephrology central Moscow, and two nurses — in St. Petersburg, Medical Institute. Pavlov. Two more nurses in the autumn of this year, gain knowledge in the Ulyanovsk Regional Hospital.

   Head of the department of dialysis Viktor Stepanov. Under his eight people: four nurses, one of them older, housekeeper, nurse, engineer, medical equipment and techniques. In the future, when the load compartment will increase, will go to work in two shifts. In this case, the state division gained another doctor and a nurse.

To date, the need for renal replacement therapy 32 inhabitants of the city of Dimitrovgrad, that in a day, three times a week, go to Ulyanovsk. In the meantime, the separation of dialysis received six dimitrovgradtsev who have previously received treatment in the regional center. This is mainly people of retirement age, which by the venerable years and severity of diseases long trips are particularly difficult.
While dialysis department will work in one shift, six days a week, from 8 to 14 hours and 30 minutes, and with the transition in two shifts — to 21.00.

   In general, the possibility of separation can serve a double shift 12 people: six — before lunch, and the same after. If there is a need to go to three shifts, then — 18 people. Thus, the double shift week compartment can hold renal replacement therapy in 24 patients, but three-shift — 36.

   In the hall of the dialysis patient meets a nurse and invited to take a seat in a special chair that with the remote can take a comfortable position for the patient. Armchairs, in connection with the requirements for sterility, charged diapers, indoor running equipment for disinfection of air.

By the way, December 19, the opening day of the center, the first patient was Marina M. Elistratova. At the doctor's office, prior to inspection, the head of a multi-hospital number 1 Nina Konevskaya and chief of Viktor Stepanov congratulated patient with common holiday and wished long life and gave flowers. She was touched by such attention, and during the procedure admitted that, of course, a bit worried how the rest for her therapy session at the new location, but thanks to the attentive and caring medical staff went well.
 
Because renal replacement therapy session lasts on average four hours in a large hall on the wall of a wide screen TV in both rooms are air-conditioned. At the time of treatment the patient is given a blanket so he could take a nap in comfort. 

   Given that the Department of dialysis patients are at increased risk for each unit is let down by oxygen, and the next, on the ground floor of a multidisciplinary hospital number 1 are receiving and neurological department on the second floor — offices ultrasound and X-rays — the third branch of the planned surgery , the fourth — intensive care and cardiology (with therapeutic beds) department.

Hemodialysis nurse holds. December 19 is the responsible thing entrusted charge nurse Valentina V. Kudrjashovoj, by the way, the best nurse FMBA of Russia in 2009. According to the representative of the supplier with the work she coped very well. 

   At the end of hemodialysis, the patient again escorted to the doctor, where it passes re-weighting. The doctor evaluates the effectiveness of the procedure. After that, anyone can go to the rest room and eating. They are there for a dining table, couch, microwave, cooler, disposable cups. Typically, after ingestion require hemodialysis diabetic patients during their treatment reduced the blood sugar, and its lack of necessary offset. After a snack and a rest, patients dress up and go home.  
   Department of dialysis — the concentration of expensive equipment and supplies. And not all the available patient's eye, and even medical personnel. It is no accident in the state of separation is an engineer on medical equipment that serves the water treatment system and the technician responsible for the analysis of water, waste management, following the procedures performed, etc.
Specificity of the artificial kidney is such that during therapy sessions require water of high purity. This task handles water treatment system, located in a specially equipped basement of the building. There's drinking water passes through several filters, then it soften and destroy bacteria. Then it goes into a special storage — storage tank. Its capacity to store water, which is enough for nine hemodialysis.
   Prepared in such a complex way, water is needed to create a special solution corresponding to the anion-cation composition of the blood. In the device with the help of this solution is the alignment of the contents of certain elements in the blood. 
   The first days of separation was important to patients during the transition from one apparatus to another model, suffered without the complications of hemodialysis. This problem has been solved: the medical staff performed the work professionally, and patients received comprehensive medical care. Among those who have already evaluated the potential of a new branch of the nuclear industry veteran and former head of the trade union org
anization Research Institute of Atomic Reactors (JSC "SSC NIIIAR") Zahorovich Vladimir Katzman, who, in particular, noted with satisfaction: "The opening of offices dialysis — a pleasant news. We are in need of renal replacement therapy for many years had to go by the procedure outside the city. Trips to the regional center, with tedious waiting in traffic before the bridge over the Volga River, and then return to Dimitrovgrad, of course, harassed us. Now another thing — before the separation at hand, the conditions are good, the staff is attentive. Thank you all! "

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