It is vital to keep to a minimum the risk of transmission of any blood borne virus within a chronic haemodialysis unit. One of the components of such a strategy is to ensure that all patients should be dialysed where possible on the same dialysis machine, at the same station position at every treatment.
When a patient is dialysed on a machine which is not recorded as their regular machine, this must be documented as a dialysis incident event and recorded in a dialysis machine change log. This machine change must be recorded with the patient name, date, time and reason. In addition as treatment variance should be recorded as per local policies with regular auditing.
If a patient is treated on a machine which is not their regular machine and there is a potential for harm to either this patients or others .