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Z364.5-17

Superseded
Superseded

A superseded Standard is one, which is fully replaced by another Standard, which is a new edition of the same Standard.

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superseded

A superseded Standard is one, which is fully replaced by another Standard, which is a new edition of the same Standard.

Safe installation and operation of hemodialysis and peritoneal dialysis in a home setting
Available format(s)

Hardcopy , PDF

Superseded date

01-01-2022

Language(s)

English, French

Published date

01-01-2017

Preface
0 Introduction
1 Scope
2 Reference publications
3 Definitions
4 Quality management
5 Home assessment
6 Physical space
7 Plumbing system
8 Feed water - Home HD
9 Dialysis water - Home HD
10 Dialysis fluids - Home HD
11 Concentrates for hemodialysis and related
   therapies
12 Electrical system
13 Handling, storage, and disposal of hazardous
   materials
14 Emergency preparedness
15 Client and caregiver training
16 Health records and documentation
Annex A (informative) - Developing a home
        hemodialysis and peritoneal dialysis
        training program
Annex B (informative) - Ontario Electrical Safety
        Code - Bulletin 24-7-4, Dialysis units
        located in residential occupancies -
        Rule 24-106

Defines requirements for the safe installation and operation of hemodialysis and peritoneal dialysis performed in a home setting.

Perface This is the second edition of CSA Z364.5, Safe installation and operation of hemodialysis and peritoneal dialysis in a home setting. It supersedes the previous edition, published in 2010. Home hemodialysis and peritoneal dialysis (home dialysis) are nstalled and carried out through a variety of practices. While the basic requirements are fundamentally similar among organizations, the methodology varies. This Standard has been developed to provide nephrology personnel with a Standard for improving the quality of home hemodialysis and peritoneal dialysis treatment and providing expert guidance to Canadians undergoing these treatments. The major differences between this edition and the previous edition include a) moving quality management content to the new CSA Group Standard Z364.6; and b) updates to current practices and health record requirements for home dialysis. CSA Group acknowledges that the development of the second edition of this Standard was made possible, in part, by the financial support of Charles River, Baxter, and Mar Cor Purification, as well the governments of Alberta, British Columbia, Manitoba, New Brunswick, Newfoundland and Labrador, Northwest Territories, Nova Scotia, Nunavut, Ontario, Prince Edward Island, Quebec, Saskatchewan, and Yukon as administered by the Canadian Agency for Drugs and Technologies in Health (CADTH). Scope 1.1 This Standard specifies requirements for the safe installation and operation of hemodialysis and peritoneal dialysis performed in a home setting. It is intended for use by dialysis providers, including health care workers and professionals who perform technical and operational functions associated with home dialysis, as well as stakeholders who have an interest in safety or related quality assurance (e.g., professional associations, regulators, and consumers). This Standard is intended to provide a comprehensive, integrated, and consistent management framework to ensure that a completed home dialysis set-up and its major systems meet the necessary technical and operational requirements. The major systems covered include a) quality management; b) home assessment; c) physical space requirements; d) plumbing requirements; e) water requirements; f) electrical requirements; g) supply storage and waste management; h) emergency preparedness; i) client and caregiver training; and j) documentation and records. 1.2 This Standard is not intended to apply to hemodialysis or peritoneal dialysis performed in a hospital or a regional dialysis clinic setting, or a long-term care facility. 1.3 In this Standard, \"shall\" is used to express a requirement, i.e., a provision that the user is obliged to satisfy in order to comply with the Standard; \"should\" is used to express a recommendation or that which is advised but not required; and \"may\" is used to express an option or that which is permissible within the limits of the Standard. Notes accompanying clauses do not include requirements or alternative requirements; the purpose of a note accompanying a clause is to separate from the text explanatory or informative material. Notes to tables and figures are considered part of the table or figure and may be written as requirements. Annexes are designated normative (mandatory) or informative (non-mandatory) to define their application.

DocumentType
Standard
ISBN
978-1-4883-0850-5
Pages
37
PublisherName
Canadian Standards Association
Status
Superseded
SupersededBy
Supersedes

Z364.6-17 Quality management for kidney dialysis providers
CSA Z23500 : 2016 GUIDANCE FOR THE PREPARATION AND QUALITY MANAGEMENT OF FLUIDS FOR HAEMODIALYSIS AND RELATED THERAPIES
CSA Z364.2.1:2013 MONITORING SYSTEMS FOR HEMODIALYSIS EQUIPMENT
Z364.2.1-13 (R2018) Monitoring systems for hemodialysis equipment

CSA ISO 13959 : 2011 WATER FOR HAEMODIALYSIS AND RELATED THERAPIES
C22.1-15 Canadian Electrical Code, Part I (23rd Edition), Safety Standard for Electrical Installations
CSA Z1600 : 2014 EMERGENCY AND CONTINUITY MANAGEMENT PROGRAM
CSA ISO 13958 : 2011 CONCENTRATES FOR HAEMODIALYSIS AND RELATED THERAPIES
CSA ISO 26722 : 2016 WATER TREATMENT EQUIPMENT FOR HAEMODIALYSIS APPLICATIONS AND RELATED THERAPIES
CSA ISO 11663 : 2015 QUALITY OF DIALYSIS FLUID FOR HAEMODIALYSIS AND RELATED THERAPIES
Z364.6-17 Quality management for kidney dialysis providers
CSA Z32 : 2015 ELECTRICAL SAFETY AND ESSENTIAL ELECTRICAL SYSTEMS IN HEALTH CARE FACILITIES

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