Table 4.

Suggested training for home hemodialysis week by week.

Week of TrainingTraining FocusObjectives
Week 1 and 2Operation of the dialysis facilityUnderstanding HD
Learning new vocabulary
Hand washing
Self-assessment (BP, weight)
Introduction to the manual of dialysis
Access care
Week 3Equipment preparationSetting up the HD machine without the manual
Disconnect procedure
Alarms management
Learner doing tasks under the supervision of the trainer
Week 4Alarms managementSelf-cannulation (may be longer)
Management of complications and alarms
Complications management
Meeting with the technician for introduction to water management
Recirculation procedure
Week 5Learner doing dialysis alone with the nurse being awayAchieving total independent self-care
  • HD, hemodialysis.