Dialysis: Dialysis scheduling, machine allocation and session records

The renal unit end to end: a patient register with anaemia, bone-mineral, access and transplant pages; every haemodialysis run charted every thirty minutes with Kt/V and URR computed; peritoneal dialysis exchanges and peritonitis; vascular access surveillance; the transplant work-up pipeline; medication reviews; and the machine fleet and RO water estate that keep the unit safe.

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Works with

HMS Core

Dialysis in the Bridge HMS Suite: Dialysis scheduling, machine allocation and session records

The renal unit, run by the session

The dialysis dashboard shows chairs and machines; every dialysis patient has a register page with access, anaemia and bone-mineral data; today's sessions and all sessions carry the prescription, weights and outcome.

Charted every thirty minutes, adequacy computed

Intradialytic charting of pressure, flow and symptoms with Kt/V and URR computed; access surveillance of fistulas and catheters; medication reviews for EPO and iron; transplant workup step by step.

Machines and water you can certify

Machines with hours and maintenance, water treatment plant records and water QC logs for chlorine, conductivity and bacteria.

Complications and consumables

The complications catalogue and the dialysis consumables each session draws from stock and bills.

What's inside

Everything in Dialysis

67 items in 14 areas, every one shipping with the app today.

Patient Registry & Records
- Dialysis Patient Enrollment RegisterDedicated renal-unit record per patient with auto DLP- reference sequence, enrollment date and archivable active flag.
- CKD Stage TrackingRecords chronic kidney disease stage from Stage 1 through 5D (on dialysis) with GFR bands on each patient.
- Renal Failure Etiology CaptureClassifies cause of kidney failure across eight options including diabetic, hypertensive, glomerulonephritis and polycystic.
- Modality AssignmentAssigns each patient to in-center HD, home HD, CAPD, APD, transplant candidate or transplanted status.
- HD Schedule SlottingBooks patients into recurring Mon-Wed-Fri or Tue-Thu-Sat morning/afternoon dialysis schedule slots.
- Dialysis PrescriptionStores prescribed hours per session, weekly frequency, target Kt/V and target URR with validated bounds (0-12h, 0-7/week).
Vascular Access Management
- Vascular Access ProfileCaptures access type (AVF, AVG, tunnelled/temporary catheter, PD catheter), placement date, location and maturity status.
- Access Surveillance LogStandalone DAM- referenced exams recording bruit, palpable thrill and augmentation test findings per visit.
- Access Flow & Pressure MonitoringRecords recirculation percentage, static/dynamic venous pressure and access flow Qa in ml/min for stenosis detection.
- Ultrasound Findings & Intervention PlanningLogs ultrasound notes and plans interventions like angioplasty, thrombectomy, salvage surgery or access abandonment.
Hemodialysis Session Workflow
- Session Status FlowDrives each session through Draft, Running, Done and Canceled states with Start/Complete/Cancel/Reset buttons.
- Auto-Numbered SessionsEvery session gets a unique DLS- reference from a dedicated sequence on creation.
- Shift SchedulingAssigns sessions to AM, PM or Evening shift for chair-turnover planning.
- Machine & Staff AssignmentLinks each session to a dialysis machine, running nurse and rounding physician with role-filtered domains.
- Pre/Post Weight & UltrafiltrationCaptures pre and post weights, target UF, and auto-computes actual UF as the weight difference.
- Vitals Capture ServiceRecords pre/post blood pressure, lowest intradialytic systolic, average heart rate and pre/post temperature.
Intra-Session Charting & Adequacy
- 30-Minute Vitals ChartEditable time-series of BP, heart rate, temperature, running UF, venous/arterial pressure and TMP through the run.
- Complications CatalogSeeded catalog of 12 dialysis complications (hypotension, cramps, haemolysis, air embolism, etc.) graded minor to critical.
- Complication TaggingTags each session with observed complications via many2many tags for incident tracking.
- Intervention RecordingLogs saline bolus, albumin, UF adjustment and early-stop interventions taken during the run.
- Automatic Kt/V AdequacyComputes Kt/V using the Daugirdas second-generation formula from pre/post BUN, run time, UF and post weight.
- Automatic URR CalculationDerives urea reduction ratio percentage from pre and post BUN automatically.
Machine Fleet Management
- Machine RosterRegisters each dialysis machine with internal tag, unique serial, manufacturer model and install date.
- Manufacturer CatalogPredefined models across Fresenius, Gambro, Nipro, B. Braun and Nikkiso platforms.
- Service Cycle TrackingRecords last and next service dates and lifetime operating hours per machine.
- Disinfection Cycle LogStart-Disinfection button increments the disinfection counter and blocks disinfection while in use.
- Machine Status LifecycleTracks Available, In Use, Cleaning, Disinfection, Maintenance and Out-of-Service states with color-coded list.
- Standard Dialysate CompositionStores a default dialysate recipe per machine as reference for setup.
Peritoneal Dialysis
- PD Exchange LogRecords each PD exchange with date, time, dialysate type, dwell time and inflow/outflow volumes (PDX- sequence).
- PD Ultrafiltration CalculationAuto-computes net UF per exchange from outflow minus inflow volume.
- Effluent AssessmentGrades effluent clarity (clear/cloudy/bloody) and flags suspected peritonitis per exchange.
- PD Technique ScoringRates patient exchange technique on a 1-5 scale for home-therapy quality assurance.
- Peritonitis Episode RegisterLogs peritonitis episodes with auto per-patient episode numbering, organism, gram stain, regimen and outcome.
Transplant Workup
- Transplant Workup PipelineEight-stage workflow from not-started through screening, compatibility, listing, wait-list to transplanted or declined.
- One-Click Workup StartPatient-form button launches a transplant workup record pre-set to initial screening and flags workup started.
- Immunological Typing TrackingRecords blood group, HLA typing completion and pending cross-match status.
- Donor & Center DetailsCaptures living-donor availability, donor relation and transplant center.
- Wait-Time CalculationAuto-computes days on the wait list from the listed date.
Water Treatment & QC
- Water Treatment System RegisterRegisters RO water systems with unique regulatory ID, membrane install date and latest chemical parameters.
- Compliance State TrackingFlags each water system Compliant, Warning or Non-Compliant with color-coded list highlighting.
- Disinfection ScheduleTracks last and next system disinfection plus last bacterial culture and endotoxin test dates.
- Tiered QC LogRecords daily chemical, weekly bacterial, monthly endotoxin and quarterly full-panel QC entries (WQC- sequence).
- QC Parameter CaptureLogs conductivity, chlorine, hardness, pH, bacterial CFU and endotoxin with an extra free-form parameter field.
- Non-Compliance Action LogRecords corrective action taken when a QC log is marked non-compliant.
What it keeps
- Patient
- BridgeERP HMS Laboratory Request
- Product Variant
- Product
- Dialysis Session
What it configures
- Dialysis Session Complication
- HMS Patient Visit Bill
- Dialysis Patient Enrollment
- Dialysis Dashboard
- Dialysis Machine
- Dialysis Water Treatment System
What it configures (continued)
- Dialysis Water QC Log
- Dialysis Session Vital Sign
- Vascular Access Monitoring
- Peritoneal Dialysis Exchange
- PD Peritonitis Episode
- Transplant Workup
What it configures (continued)
- Dialysis Medication Review
Roles it ships
- Dialysis Technician
- Dialysis Nurse
- Nephrologist
More in this app
- PD at home, followed from the unitPD exchanges with volumes and effluent, and the peritonitis register with organism, treatment and outcome.
- Adequacy, access and outcomes, measuredPatients, sessions, machines, water, charting, access, reviews and workups in pivot and graph.

Works with

What Dialysis works with

Dialysis shares one database with the rest of the Bridge HMS Suite and BridgeERP: these are the apps it already talks to, with nothing to buy in between.