Difference Between Hemodialysis in Center and Home Mobile Dialysis
Subnet RTA is currently looking for dialysis nurses for different clients in the Kingdom of Saudi Arabia. Dialysis nurses primarily provide home-based hemodialysis service, which means working for a mobile dialysis unit and handling a portable dialysis machine. A doctor and a mobile dialysis unit driver will accompany these nurses as they go to their patients’ home for the treatment. After their duty, dialysis nurses have to go back to their respective dialysis centers.
Most hospitals and medical centers in KSA have mobile dialysis units designed for patients who opt for home-based hemodialysis instead of the typical center-based hemodialysis. We will look into the difference between these two types of hemodialysis in this week’s blog article.
But first, what is hemodialysis?
Hemodialysis is a treatment for kidney failure. The term comes from the words “hemo” (which means blood) and “dialysis” (which means filter). Thus, hemodialysis is defined as a treatment wherein the blood is filtered or cleaned outside the body (through the use of dialyzer or artificial kidney) and returned to the bloodstream afterwards.
This process starts with the placement of two needles into the patient’s access, which are connected to the plastic tubing where the blood travels through as it goes to the dialyzer. The dialysis machine pumps the blood and controls the treatment time, temperature, fluid removal, and pressure.
In-Center Hemodialysis vs Home Hemodialysis
Hemodialysis can be done in two methods: center-based and home-based.
Center-based or in-center hemodialysis is performed in a kidney dialysis center under the supervision and support of a trained team of nurses and technicians. It is done three times a week for about three to five hours per session (or as prescribed by the doctor).
There are two options for in-center hemodialysis. One is the regular hemodialysis scheduled during the day, while the other is nocturnal hemodialysis, also known as overnight dialysis. It is scheduled for an 8-hour interval overnight and is usually done three times a week as well.
Home-based hemodialysis or home hemodialysis (HHD), on the other hand, is performed at home. This type of dialysis has three options: (1) short daily, which is performed daily or five to seven times a week for about two hours each session; (2) traditional or conventional, which is similar to in-center hemodialysis and performed three times a week; and (3) nocturnal, which refers to long and slow treatments done at night while the patient is sleeping. This type of treatment may be done six nights a week or every other night.
Since home hemodialysis is performed at home, it may be done by the patient himself (through self-cannulation), a care partner, or a trained professional. A care partner could be anyone (spouse, relative, or friend) who, along with the patient, will undergo the comprehensive training in performing home hemodialysis treatments safely and effectively. This includes setting up and operating the dialysis machine, inserting the dialysis needles into the patient’s access, recording the medical information on a log, disconnecting the dialysis machine afterwards, and creating a clean environment all throughout the treatment.
Nevertheless, many patients still opt for having trained professionals like dialysis nurses to assist them in their treatment. In that way, they can be assured of getting the same quality as center-based hemodialysis, but also with more attention and focus as it is done exclusively and in the comfort of their own homes.
Moreover, home hemodialysis is easier and more convenient for patients, care partners, and trained professionals alike, as new, portable, smaller, and user-friendly machines (with fewer supplies) are being made available in the market today.
Apply Now as Dialysis Nurses
Do you think you have what it takes to be a dialysis nurse in KSA? Our recruitment agency is looking for nurses who will work for a mobile dialysis unit and provide home service to dialysis patients.
However, these nurses are not stay-in nurses. Our clients will provide you your own accommodation. After your shift, a company car will bring you back to your accommodation as part of your employee benefits. All staff have an 8-hour shift per day, but unless demanded by the client, you will be working (and paid for an) overtime.
Interested in this job opportunity? For more information, you may contact our recruitment team:
Registered as Subnet Recruitment Training and Assessment Services Inc. on the POEA website, our recruitment agency searches, recruits, documents, processes, and deploys highly skilled, professional, and competent workers from the Philippines to any international destination.
– DaVita Kidney Care. “A Brief Overview of Home Hemodialysis”. davita.com. https://www.davita.com/treatment-services/home-hemodialysis/a-brief-overview (accessed August 8, 2019)
– Fresenius Kidney Care. “What Is In-Center Hemodialysis?”. freseniuskidneycare.com. https://www.freseniuskidneycare.com/ckd-treatment/in-center-hemodialysis (accessed August 8, 2019)
– National Kidney Foundation. “Home Hemodialysis”. kidney.org. https://www.kidney.org/atoz/content/homehemo (accessed August 8, 2019)