If a patient requires urgent hemodialysis, fellows should first ask their supervising attending if they is comfortable supervising line placement, and if the supervising nephrology attending says no, then the nephrology fellow should place a “consult to gen med procedure service” for central venous catheter placement. The team will then evaluate the patient and make sure they have capacity to do the procedure. The nephrology fellow should do the procedure with the gen med procedure service. If the patient is initiating dialysis on the floor these should be placed in the dialysis unit procedure (isolated) rooms.
the service runs from 8 am to 6pm 7 days a week including weekends.
Please contact Dr. Sparks with issues or concerns.
