Ureteric Stent Removal Post Renal Transplant€¦ · Web viewRenal Transplant Nurse will receive a...

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CHHS15/118 Canberra Hospital and Health Services Operational Guideline Ureteric Stent Removal Post Renal Transplant Contents Contents..................................................... 1 Introduction................................................. 2 Scope........................................................ 2 Key Objectives............................................... 2 Section 1 – Procedure........................................2 Implementation............................................... 3 Related Policies, Procedures, Guidelines and Legislation.....3 References................................................... 3 Definition of Terms..........................................4 Search Terms................................................. 4 Doc Number Version Issued Review Date Area Responsible Page CHHS15/118 X 1/5/2015 1/5/2020 Renal Medicine 1 of 5 Do not refer to a paper based copy of this policy document. The most current version can be found on the ACT Health Policy Register

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Page 1: Ureteric Stent Removal Post Renal Transplant€¦ · Web viewRenal Transplant Nurse will receive a theatre report of ureteric stent removal and save a copy to the renal transplant

CHHS15/118

Canberra Hospital and Health ServicesOperational GuidelineUreteric Stent Removal Post Renal Transplant Contents

Contents....................................................................................................................................1

Introduction..............................................................................................................................2

Scope........................................................................................................................................ 2

Key Objectives...........................................................................................................................2

Section 1 – Procedure...............................................................................................................2

Implementation........................................................................................................................ 3

Related Policies, Procedures, Guidelines and Legislation.........................................................3

References................................................................................................................................ 3

Definition of Terms...................................................................................................................4

Search Terms............................................................................................................................ 4

Doc Number Version Issued Review Date Area Responsible PageCHHS15/118 X 1/5/2015 1/5/2020 Renal Medicine 1 of 4

Do not refer to a paper based copy of this policy document. The most current version can be found on the ACT Health Policy Register

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CHHS15/118

Introduction

The Operational Guideline – Ureteric Stent Post Renal Transplant ensures renal transplant recipients have ureteric stent removal 6 to 8 weeks post transplant.

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Scope

The Operational Guideline – Ureteric Stent Post Renal Transplant applies to nursing and medical staff under the clinical governance of the Canberra Hospital and Health Service (CHHS) Renal Network.

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Key Objectives

To ensure renal transplant recipients have ureteric stent removal 6 to 8 weeks post renal transplant.

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Section 1 – Procedure

Renal transplant recipient is discharged from the Transplant Hospital and returns to the ACT under the care of his/her treating Renal Consultant.

Renal Transplant Nurse will receive a discharge letter from Transplant Hospital and save a copy to the renal transplant recipients Renal Electronic Medical Record (EMR), and send a copy to Medical Records.

Renal Consultant will review renal transplant recipient in Renal Outpatients at Canberra Hospital. Renal Consultant will review discharge letter to confirm presence/absence of ureteric stent. In the case of:o Presence or absence of ureteric stent not documented in discharge letter:

Abdominal x-ray required to confirm presence or absence of ureteric stento Ureteric stent removed at Transplant Hospital prior to discharge to ACT:

Renal Transplant Nurse at Canberra Hospital will request a theatre report from Post Renal Transplant Nurse at Transplant Hospital

o Ureteric stent present: Renal Consultant will complete a referral to Urology Surgeon. Date of renal

transplant surgery and details of ureteric stent to be included in the referral. Renal Transplant Nurse will document in the renal transplant recipients Renal EMR

when referral has been sent, scheduled date of ureteric stent removal and when ureteric stent has been removed. Renal Transplant Nurse notifies Renal Consultant of date of removal.

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Do not refer to a paper based copy of this policy document. The most current version can be found on the ACT Health Policy Register

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CHHS15/118

Renal Transplant Nurse will receive a theatre report of ureteric stent removal and save a copy to the renal transplant recipient’s Renal EMR, send a copy to Medical Records and send a copy to the Post Renal Transplant Nurse at the Transplant Hospital.

Renal Transplant Nurse will generate a monthly ‘Ureteric Stent Removal’ report from Renal EMR.

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Implementation

This guideline will be implemented and communicated to the CHHS Renal Network staff by incorporating it into the orientation programs and by inclusion on Policy Register.

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Related Policies, Procedures, Guidelines and Legislation

‘Your Guide to Having a Kidney Transplant’, RHAH Transplant Unit, 2011.

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References

http://www.cari.org.au/Transplantation/transplantation_guidelines.htmlhttps://www.kidney.org/transplantationhttp://www.transfusion.com.au/transplantation_serviceshttp://www.ajkd.org/article/S0272-6386(10)00802-4/fulltextThomas Nicola, Renal Nursing. 4th ed.UK. John Wiley and Sons, Ltd.2014ANNA Contemporary Nephrology Nursing: Principles and Practice, 2nd edition, chapter 24, 2006.Linda Ohler and Sandra Cupples, Core Curriculum for Transplant Nurses. Mosby Elsevier, 2008.Handbook of Kidney Transplantation, 5th edition, 2010.

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Do not refer to a paper based copy of this policy document. The most current version can be found on the ACT Health Policy Register

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CHHS15/118

Definition of Terms

Renal/Kidney Transplantation: is the organ transplant of a kidney into a patient with end-stage renal disease.Ureteric Stent: is a thin tube inserted into the ureter to prevent obstruction of the urine flow from the kidney.

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Search Terms

Renal TransplantationLive Renal TransplantationTransplantationUreteric Stent

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Disclaimer: This document has been developed by Health Directorate, Canberra Hospital and Health Services specifically for its own use. Use of this document and any reliance on the information contained therein by any third party is at his or her own risk and Health Directorate assumes no responsibility whatsoever.

Date Amended Section Amended Approved ByEg: 17 August 2014 Section 1 ED/CHHSPC Chair

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Do not refer to a paper based copy of this policy document. The most current version can be found on the ACT Health Policy Register