FSGS/Renal
Transplant Program & Apheresis Algorithm
Kidney becomes
available
↓
Renal team contacts BBMD on
call
↓
BBMD Resident/Fellow on
call contacts BBMD Attending Physician
↓
Decisions to be made
between BBMD and Renal are:
ü
Types of products to use (albumin or
ü Type of anticoagulants to use (ACD-A or heparin)
ü
Determine type of access (peripheral,
ü Where procedure will take place (can NOT be in TAU if on off hours, i.e. overnight or weekends)
ü Determine when the procedure needs to be done
ü Dialysis should occur prior to TPEX
↓
BBMD on call contacts the
Apheresis RN on call
↓
BBMD on call reconnects
with Renal to finalize plan where they:
ü Determine who the MD/Team in charge of patient,
It should be Surgery because patient is pre-op
↓
Renal Team communicates
plan to patient &Transplant Surgical Team
↓
BBMD writes the orders and consents the
patient for Apheresis (if consent not already obtained)
Premedicate with Benadryl/Tylenol strongly
recommended if replacing with
↓
Apheresis RN or BBMD order
the product through Blood Bank
↓
Apheresis RN contacts
patient’s Nurse for Report
↓
Equipment and products
prepared for treatment
↓
Procedure started and
completed