So, since my official PD training got put off till next week, my PD nurse had me come in today for another dressing change and "flush" of my pd catheter. She did not do the "sterile" setup for this, just the "clean" set up that included the extreme hand washing techniques and she did use clean gloves, not sterile. And during the process she actually taught me how to do the dressing change myself going forward. AND I'M APPROVED TO TAKE A SHOWER IN THE MORNING! whoo hoo! No more stinky Ron after 4 weeks of sink baths. I will remove the dressing, shower, dry as directed - tummy first with a clean towel, Then I will apply my own dressing after that. More on that tomorrow when I've actually done it. While she did the 2500 ml "flush" (about 600ml each for 4 exchanges one right after the other with no "dwell time"), she had me read and/or sign about 40 pages of paperwork. I didn't get a copy, so I can't provide a list yet as to what those were. Once I get a copy, I'll make a list. She also gave me an iPad on which i will log in using my Fresenius log in credentials that will give me access to "training" tutorial modules. I've not actually done that yet, so more on that after I've actually logged in and looked it over, but at least I won't be bored between now and Monday when i start the training, and I have a little time to study it before the training which is actually a good thing so my brain has more time to absorb it all. Oh, when she had completed the full 2500ml of fluid, the drain bag had some stuff in it that looked like small shreds of watermelon. She let me know that that was "fibrin" and that she would be adding some heparin in my PD solution on Monday to help clear that up. She said I should watch out for that each time I drain. I didn't think to ask her how you're supposed to look for that when I'm on the cycler and it all happens at night and drains into the toilet. I'll pose that question when the time comes I guess. Don't want to rock the boat too much at the start of the voyage and get me on her "difficult" patient list She told me today that she has 22 PD patients. The other PD nurse has 21. When I was about to leave, she gave me a goodie bag of stuff that included the following (even though I won't "officially" be a patient until Monday):
5 pads to use to lay on my equipment table that are "clean" but not necessarily sterile.
Box of 50 ZD-pore 4x4 Island Dressing (like a large bandaid to use to cover the exit site
Box of 200 AMD-RITMED 2x2 non sterile "sponges". Basically gauze type squares. I will put the ExSept cleaning solution on those to clean the exit site. You use three wet ones and three dry ones each time.
A 500ml bottle of ExSept Antimicrobial Exit Site Skin and Wound Cleaner
Three rolls of white tape
A PD catheter belt that I can use to put the end of the catheter in instead of using a ton of tape to take it to my belly. We'll see how that works out. She only had a small, didn't have a medium, so we'll see.
The iPad and charger
PatientHub Registration Checklist instructions.
Not included is the bleach water I will need to use to wash down the table I will use to place supplies while doing an exchange or dressing change each morning after I shower. She said use 100 to 1 bleach water (store in tupperware container). She said to keep another tupperware container with 10 to 1 bleach water to clean up any pd solution that might accidentally get on anything outside the drain bag.
I know I'm forgetting something. I'll post anything else I remember in a follow up after I've watched some of the training video's.