- Your child must be connected to the cycler to receive the automated peritoneal dialysis treatment.
- We suggest a procedure that you can use as a guide; discuss with your healthcare team the specific equipment used for your child.
- This care must be given with strict adherence to the aseptic measures taught by your care team, including basic procedures to be performed before starting.
- Depending on your child’s needs and programming, the cycler will start the treatment with the empty bag or the dialysate bag on the heater. If it is an empty bag, the cycler starts by filling it with the dialysate types connected to the bag lines. Otherwise, the cycler assumes that there is a full bag of dialysate on the heater to begin treatment.
- It is important to administer the volume of dialysate recommended by your healthcare team.
- If you are using a pediatric cycler set with cassette, the end of the patient line completely covers the end of the catheter extension when connected. If you are using an adult cycler set with cassette, the end of the patient line only partially covers the end of the catheter extension when connected, so it is recommended that you install a connection shield with povidone-iodine to protect the exposed portion of the extension.
- Use each bag and all dialysis equipment only once; discard any unused dialysate remaining in the bags.
- Make sure your child is comfortable during the care by using the different positioning techniques and distraction techniques that are offered.
Within a maximum of 4 hours after assembly of the cycler, depending on the frequency of automated peritoneal dialysis treatment agreed upon with your healthcare team.
- Small table, desk top or sideboard with a washable surface: for depositing materials
- Hand soap
- Clean paper or towel
- Alcohol or disinfectant wipe (eg, Sani-Cloth® Plus): for surfaces
- 4% chlorhexidine soap solution: for hands
- Alcohol-based antiseptic hand gel (eg, Stérigel®)
- Disinfectant pads (2% chlorhexidine and 70% alcohol or 70% alcohol only, as directed by your healthcare team): for the MiniCap disconnect cap junction
- Patient line of the cycler with cassette
- 4″ by 4″ sterile compresses
- Connection shield with povidone-iodine (if adult cycler set with cassette used)
- Protective pad (blue): to protect the connection if your child is in diapers or has a gastrostomy/jejunostomy.
Refer to your healthcare team if the materials used or the sequence of steps taught is different from what is described in the method of care.
Depending on your child’s age and condition, always encourage your child’s autonomy in carrying out the method of care.