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Last Updated 06/18/17
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Dialysis technicians and technologists spend more time with dialysis patients than any other health care professionals.  There are more dialysis technicians/technologists than nephrology nurses and nephrologists combined.

In most dialysis facilities, dialysis technicians perform dialysis treatments under the supervision of a registered nurse. Duties include pretreatment assessment, cannulation, initiation of treatment, treatment monitoring, discontinuation of treatment, and post-treatment assessment.

Dialysis technologists specialize in the technical operations of a dialysis facility. Duties include dialysis equipment maintenance and repair, water treatment monitoring, dialyzer reprocessing, and facility safety issues. See the Renal Career Fact Sheet for Dialysis Technologists from the National Kidney Foundation.

This list of educational and informational resources will be continually expanded. Please notify RenalWEB of your suggestions and ideas for this page.

Warning:  Changes should never be made in a patient's treatment or care based solely on the information found here.  Every patient has unique healthcare concerns and considerations and all these factors must all be taken into account before any changes can be safely made.  All medical and therapeutic decisions must come from a qualified health care provider.  Read RenalWEB's Legal Disclaimer before proceeding.


  NEWS
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Abstracts from the Renal Society of Australasia 45th Annual Conference, June 19-21, 2017 - 138-page PDF contains all abstracts and poster presentations.  - June 19 - 21, 2017

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Regional Citrate Anticoagulation in Membrane Based Plasma Exchange: Safety, Efficacy and Effect on Calcium Balance - Accepted Article abstract from Nephrology. - June 15, 2017

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Ultrapure Versus Standard Dialysate: a Cost-Benefit Analysis - Early View Abstract from Seminars In Dialysis. - June 13, 2017

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Cardiac Arrest? Someday, Drones May Come to Your Rescue - Articles from HealthDay. - June 13, 2017

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Amazon Poised to Deliver Disruption in Medical Supply Industry - (Registration required, but free.) Article from Modern Healthcare. - June 10, 2017

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Home Blood Pressure Monitors Inaccurate 70% of the Time: Study - Press release from University of Alberta Faculty of Medicine and Dentistry. - June 7, 2017

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Cyberattack on Britain's National Health Service — A Wake-up Call for Modern Medicine - Free, Full-Text, Online First Perspective Pieces from the New England Journal Of Medicine. - June 7, 2017

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Bioengineering in Renal Transplantation: Technological Advances and Novel Options - First Online abstract from Pediatric Nephrology. - June 6, 2017

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New CMS Survey and Certification Guidelines — Notices from the Northwest Renal Network - June 6, 2017

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Baxter Touts HDx Theranova Data for ‘Extended’ Hemodialysis - Article from MASSDEVICE. - June 5, 2017

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Three-Stream, Bicarbonate-Based Hemodialysis Solution Delivery System Revisited: With an Emphasis on Some Aspects of Acid-Base Principles - Free, full-text article from Artificial Organs. - June 2, 2017

Editor's note: Make sure your clinic's medical director reads this article.

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The Rise of Expanded Hemodialysis - Free, full-text, Issue-in-Progress editorial from Blood Purification. - June 2017

"The last evolution in the field of membranes is the development of a new class defined as “high retention onset” (HRO) due to the peculiar high sieving value in the middle to high molecular weight range. The introduction of HRO membranes in the clinical routine has enabled the development of a new concept therapy called “expanded hemodialysis".”

"This new therapy is likely to modify the outcome of end-stage kidney disease patients, thanks to the enhanced removal of molecules traditionally retained by current dialysis techniques."

blue ball Amazing and Fantastic Infection Control: The Case of Dialyzer Reuse - Free, Full-Text Article from American Journal Of Kidney Diseases - related abstract. - June 2017
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FDA Recall Notice: MesaLabs Conductivity Standard Solution, 14 mS/cm, 32 ounces (950 ml) - Mesa Laboratories is recalling Conductivity/TDS Calibrator Solution due to failure to meet product specifications. These solutions are used remotely from the hemodialysis machine or water purification equipment, and do not come into contact with the patient. - May 30, 2017

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Medium Cutoff Membranes — Closer to the Natural Kidney Removal Function - Free, full-text, Advance Online article from the International Journal of Artificial Organs. - May 26, 2017

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A Regenerable Potassium and Phosphate Sorbent System to Enhance Dialysis Efficacy and Device Portability: a Study in Awake Goats - Free, Full-Text Article from NDT. - May 24, 2017

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Wearable Kidney Monitor Receives Innovation Award - Article from Medical Plastics News. - May 18, 2017

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Prospective, Randomized, Multicenter, Controlled Trial (TRIATHRON 1) on a New Antithrombogenic Hydrophilic Dialysis Membrane - Advance Online abstract from the International Journal of Artificial Organs. - May 2017

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Free, Full-Text Articles from the International Journal of Artificial Organs (Click on Full-Text Tab) - April 2017

blue ball Dialysis news stories from Yahoo!  Continually Updated!
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  WEB RESOURCES
blue ball Latest Scientific Journal Articles on Dialysis Technology
Latest Issue of Biomedical Instrumentation & Technology (BI&T) Journal - The Official Journal of the Association for the Advancement of Medical Instrumentation (AAMI)
Future Horizons - special publication from the Association for the Advancement of Medical Instrumentation (AAMI) dedicated to examining the future of medical technology and the healthcare profession
Dictionary of over 70,000 medical, pharmaceutical, biomedical & healthcare acronyms and abbreviations from the MediLexicon web site
National Surveillance System for Health Care Workers (NaSH) (pdf) from the Centers for Disease Control (CDC)
Chemical Reactivity Hazards from the Occupational Safety & Health Administration web site
Chlorine - from the National Institute for Occupational Safety and Health (NIOSH) - September 2006
Eleven Keys to Designing Error-Resistant Medical Device from the Medical Device and Diagnostic Industry web site - May 2002
European Medical Device Technology web site
Exposure to Stress: Occupational Hazards in Hospitals - (pdf) release from the NIOSH/Centers for Disease Control and Prevention (CDC) - July 2008

FDA and Industry Actions on Premarket Notification (510(k)) Submissions: Effect on FDA Review Clock and Performance Assessment - from the FDA Center for Medical Devices

blue ball FDA-Cleared Sterilants and High Level Disinfectants with General Claims for Processing Reusable Medical and Dental Devices from the FDA's Medical Devices - March 2015
The Fundamental Collection from the Association for the Advancement of Medical Instrumentation (AAMI) web site
Healthcare Technology Management Collection, 2014 Update from the Association for the Advancement of Medical Instrumentation (AAMI) web site
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Incivility, Bullying, and Workplace Violence - position statement from the American Nurses Association. - July 2015

Inspection of Medical Device Manufacturers - from the U. S. Food and Drug Administration web site - June 2006
Job Safety and Health: It's the Law and Seguridad y Salud en el Trabajo ¡Es la Ley! (pdf) from the Occupational Safety & Health Administration web site
Medical Equipment Symbols & Safety Signs Clip Art Collection from the Association for the Advancement of Medical Instrumentation (AAMI) web site
NANT Presentations - from the National Association of Nephrology Technicians/Technologists
NIOSH Pocket Guide to Chemical Hazards from the National Institute for Occupational Safety and Health (NIOSH) web site
OSHA Unveils New Webpage for Spanish-Speaking Employers and Workers
Promoting Healthcare Workplace Excellence (pdf format requires Adobe Acrobat Reader) from the Health Care Workforce Policy Advisory Committee Georgia Department of Community Health - spring 2002
Renal Data Extraction and Referencing (RenDER) System - new online data querying application accessible through the United States Renal Data System (USRDS) - USRDS Presentations & Posters, 2016 Researcher's Guide and the 2016 USRDS annual report - from the United States Renal Data System (USRDS) web site
blue ball Risk Management - podcast from the Association for the Advancement of Medical Instrumentation (AAMI) web site
TOXMAP - Environmental Health e-Maps from the U.S. National Library of Medicine web site
blue ball Worker Safety in Hospitals Caring for our Caregivers - from OSHA web site
blue ball Workplace Violence Prevention Course for Nurses - from the National Institute for Occupational Safety and Health (NIOSH)
blue ball Workplace Violence Prevention Resources - from the The Joint Commission
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  ORGANIZATIONS
blue ball American Society for Artificial Internal Organs (ASAIO) web site
Association for the Advancement of Medical Instrumentation (AAMI) web site
Canadian Association of Nephrology Nurses and Technologists web site
ECRI web site for healthcare technology assessment
Environmental Protection Agency (EPA) web site

Food and Drug Administration (FDA) web site,  Medical Devices ,  Medical Device Reporting (MDR)

Green Dialysis web site
Center for Devices and Radiological Health (CDRH) Transparency web site
IHE Implementation Testing & Support web site
International Health Care Worker Safety Center (also EPINet) web site
International Society for Performance Improvement web site
The National Academies web site (National Academy of Sciences, National Academy of Engineering, Institute of Medicine, National Research Council)
National Association for Nephrology Technicians/Technologists (NANT) web site
National Institute for Occupational Safety and Health (NIOSH) web site
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) web site
National Kidney Foundation (NKF) web site - NKF Council of Nephrology Nurses and Technicians

National Kidney and Urologic Diseases Information Clearinghouse web site

Occupational Safety and Health Administration (OSHA) web site - Topics: Bloodborne PathogensNeedlestick Injuries
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  ESSENTIALS AND CLASSICS
A Study Guide for Dialysis Technologists 5th ed. - Book from the National Association for Nephrology Technicians/Technologists (NANT) web site
AAMI Dialysis Standards Collection 2015 edition - This comprehensive dialysis collection includes EVERY CURRENT AAMI HEMODIALYSIS standard and guidance document.
Sterilization in Health Care Facilities, 2015 edition from the Association for the Advancement of Medical Instrumentation

Medical Equipment Management Manual, 2012 - This book presents the basic elements of medical equipment maintenance and management required of healthcare leaders responsible for managing or overseeing this function. It will enable these individuals to understand their professional responsibilities, as well as what they should expect from their supervised staff and how to measure and benchmark staff performance against equivalent performance levels at similar organizations.

AAMI Medical device software risk management - provides information for performing effective software risk management and should be regarded as a reference for developing safe software systems to be used in medical devices. - from the Association for the Advancement of Medical Instrumentation (AAMI)
Guidelines for Environmental Infection Control in Health-Care Facilities from the Morbidity and Mortality Weekly Report web site
Handbook of Dialysis Fifth Edition by John T Daugirdas MD, Peter G Blake MB, FRCPC, FRCPI, Todd S Ing MD
Book: Review of Hemodialysis for Nurses and Dialysis Personnel by Gutch, Corea, and Stoner from amazon.com
ANNA Publications from the American Nephrology Nurses Association web site
NANT Publications from the National Association of Nephrology Technicians/ Technologists web site
Hemodialysis Dose and Adequacy from the National Kidney and Urologic Diseases Information Clearinghouse (NKUDIC) web site
NLM MEDLINE plus Health Information for Kidneys and Urinary System
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  HEMODIALYSIS MACHINES
AAMI Sterilization in Health Care Facilities, 2015 - every AAMI document covering sterilization in health care facilities, sterilization equipment, and industrial sterilization process control is included - from the Association for the Advancement of Medical Instrumentation (AAMI)
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Medical Equipment Management Manual, 2012 - This book presents the basic elements of medical equipment maintenance and management required of healthcare leaders responsible for managing or overseeing this function. It will enable these individuals to understand their professional responsibilities, as well as what they should expect from their supervised staff and how to measure and benchmark staff performance against equivalent performance levels at similar organizations.

For Manufacturers and CDRH Reviewers - Guidance for the Content of Premarket Notifications for Hemodialysis Delivery Systems from the FDA's Medical Devices - August 1998/ July 2000
blue ball Quality of dialysis fluid for hemodialysis and related therapies, 2014 - from the Association for the Advancement of Medical Instrumentation (AAMI)
blue ball Guidance for the preparation and quality management of fluids for hemodialysis and related therapies, 2014 - from the Association for the Advancement of Medical Instrumentation (AAMI)
Concentrates for hemodialysis, 2014 - from the Association for the Advancement of Medical Instrumentation (AAMI)
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  WATER TREATMENT
AAMI Dialysis Standards Collection 2015 edition - This comprehensive dialysis collection includes EVERY CURRENT AAMI HEMODIALYSIS standard and guidance document.
2014 Dialysis Water and Dialysate Recommendations: A User Guide - a side-by-side comparison of the CMS regulations and interpretive guidance for the Condition of Water and Dialysate Quality and the section related to water and dialysate from the Condition of Care at Home with the suite of ISO Standards that have been adopted as replacement for ANSI/AAMI RD52:2004 - from the Association for the Advancement of Medical Instrumentation (AAMI)
A Surveyor’s Perspective: Water Quality for Hemodialysis (3-page pdf) from Hemodialysis Horizons
blue ball Dialysis Water Treatment System from the Northwest Renal Network
blue ball Ultrapure Dialysate for hemodialysis, 2011 from the Association for the Advancement of Medical Instrumentation (AAMI)
Water for hemodialysis and related therapies, 2014 from the Association for the Advancement of Medical Instrumentation (AAMI)
blue ball Water testing methodologies, 2014 from the Association for the Advancement of Medical Instrumentation (AAMI)
blue ball Water for hemodialysis and related therapies, 2014 from the Association for the Advancement of Medical Instrumentation (AAMI)
EPA Office of Ground Water and Drinking Water web site
For manufacturers - Guidance for the Content of Premarket Notifications for Water Purification Components and Systems for Hemodialysis from the FDA's Medical Devices - May 30, 1997
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  REUSE AND REPROCESSING
Sterilants and High Level Disinfectants Cleared by FDA
AAMI Dialysis Standards Collection 2015 edition - This comprehensive dialysis collection includes EVERY CURRENT AAMI HEMODIALYSIS standard and guidance document.
Reprocessing of hemodialyzers, 2008 - (consolidated text of 2002 edition and March 2003 amendment) - This book can be ordered from the Association for the Advancement of Medical Instrumentation (AAMI) web site
Glutaraldehyde - from the CDC National Institute for Occupational Safety and Health (NIOSH)
Antimicrobial Chemical/Registration Number Indexes from the EPA web site
ReNews. is a newsletter about dialyzer reprocessing and related topics published twice yearly by Minntech Renal Systems. Copies of recent issues are available for download as Acrobat PDF files. (From the Medivators web site)
K/DOQI™ Guideline 5. Hemodialysis Membranes from the American Journal of Kidney Disease
A publication "What you should know about dialyzer reuse" (pdf format requires Adobe Acrobat reader) available from the NKF
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  ELECTRONICS
60601-1, 3rd Edition, Medical electrical equipment, Part 1 - Association for Advancement of Medical Instrumentation (AAMI) web site.
Electronic Records; Electronic Signatures — Scope and Application - Availability from the U.S. Department Of Health and Human Services Food and Drug Administration (FDA) - 2015
Electromagnetic Compatibility - EMC from the FDA's Radiation-Emitting Products
FDA/CDRH Recommendations for EMC/EMI in Healthcare Facilities from the FDA's Radiation-Emitting Products
General Principles of Software Validation; Final Guidance for Industry and FDA Staff from the U.S. Department Of Health and Human Services Food and Drug Administration (FDA) - January 11, 2002
Home Use Devices Booklet: How to Prepare for and Handle Power Outages for Medical Devices that Require Electricity - 16-page pdf file from the FDA. - May 2011
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  PUBMED SEARCHES (National Library of Medicine's MEDLINE Database)
PubMed Search Tool of the National Library Of Medicine's MEDLINE Database (allows you to search through over 11 million indexed articles). Due to copyright laws, only the abstracts (summaries) of the articles are usually listed. Some articles appear in full text on the publishers' web sites that are linked to PubMed. This page provides an Overview of PubMed.
dialysis technician articles   Continually Updated!
dialysis equipment articles   Continually Updated!
water treatment and dialysis articles   Continually Updated!
dialyzer reprocessingheat reuse  articles   Continually Updated!
MEDLINE / Pubmed Information from the National Library of Medicine
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  SCHOOLS AND ACCREDITATION

Core Curriculum for the Dialysis Technician - A Comprehensive Review of Hemodialysis: Fifth Edition - Developed by the Medical Education Institute, Inc., in cooperation with the National Association of Nephrology Technicians/Technologists (NANT).

ESRD Conditions for Coverage: Frequently Asked Questions (FAQs) About Patient Care Technicians - April 2010 - 5-page pdf from The Renal Network.
Patient Care Tech Training/Certification Options - 2-page pdf from The Renal Network.
Board of Nephrology Examiners, Inc. Nursing and Technology (BONENT) Examinations are given by Applied Measurement Professionals, Inc. (AMP). Fact Sheet on BONENT Examinations.
National Nephrology Certification Organization (NNCO) Certification Examinations in Clinical Nephrology Technology and Biomedical Nephrology Technology are given by the Professional Testing Corporation. Schedule for NNCO Testing.
The Nephrology Nursing Certification Commission (NNCC) offers the Certification for Clinical Hemodialysis Technicians (CCHT).
Dialysis Technician Requirements by State
A Career in Biomedical Equipment Technology Brochure (pdf) from the Association for Advancement of Medical Instrumentation (AAMI) web site
Better Water, Inc. training facility in Smyrna, TN
Biomedical Electronics Technology A.A.S. Degree  from the Milwaukee Area Technical College  web site 
BMET Study Guide: Preparing for Certification and Sharpening Your Skills - from the Association for the Advancement of Medical Instrumentation
Body Weight - Body Water (pdf) - from Hemodialysis, Inc.
The Water Solution Package: On-line Water Training & Information Support Site - (pdf) Mar Cor Purification’s Training Course for Hemodialysis Water Systems
Hemodialysis Review Course - from Nephrology Clinical Solutions - Content review for the hemodialysis patient care technician (PCT) preparing for certification examination.
Online courses for Medical Equipment Technology: Application, Support and Management - from the University of Vermont
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  K/DOQI™ -  Kidney Disease Outcomes Quality Initiative ( pronounced "kay DOE key" )

K/ DOQI Main Page on the National Kidney Foundation web site


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  DISCUSSION FORUMS
Dialysis Technical Forum - Professional Discussion Forum for Technical Issues. Ask questions on water systems, electronics, troubleshooting, reuse, etc.
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  PRODUCTS
Medivators Renal Systems Services & Support - Support products and services for dialyzer reprocessing programs
Mar Cor Purification web site
Reprocessing Products Corporation
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  UPCOMING EVENTS
Listing of National Association of Nephrology Technicians/Technologists (NANT) Meetings
Listing of local ESRD Network Annual Meetings
Listing of Association for the Advancement of Medical Instrumentation (AAMI) Seminars
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  RELATED TOPICS
Guidelines for Preventing Workplace Violence for Health Care and Social Service Workers (pdf format requires Adobe Acrobat Reader) from OSHA web site
Biomedical Engineering web sites - Yahoo search
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  INPUT / SUGGESTIONS
E-mail to RenalWEB on the Technician Issues
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