Run a Dialysis Session and Record It

A session is one treatment run, and its record is the heart of the renal unit. The nurse opens the scheduled session, starts it, records the patient’s weights and vitals before and after, logs the consumables used, captures how well the blood was cleaned, and finally signs it. Signing is the moment the record is locked and the treatment is billed — until then the session is unfinished and unbilled.

Who / when: Halima Sani, the dialysis nurse, runs and records the session at the chair while the patient is being treated, and signs it when the run ends. (A nephrologist running a session does the same.)

We will follow Halima through one haemodialysis run.

1. Dialysis Nurse — open Dialysis → Chair Schedule and click the patient’s scheduled session to open its record. The header shows the patient, status, chair and — once recorded — the achieved UF and adequacy.
2. Dialysis Nurse — record the pre-treatment observations: the pre weight (kg) and the patient’s blood pressure and heart rate. Then press “Start Session” — the status moves to In Progress.
3. Dialysis Nurse — during the run, log the consumables used — the dialyser (the filter cartridge) and any other supplies. A consumable linked to a stock item draws the unit’s inventory down as you record it (the stock is decremented straight away; see the billing guide for how that posts to the books). Note any intradialytic events (hypotension, cramps, clotting) as they happen.
4. Dialysis Nurse — at the end, record the post-treatment weight and vitals and the UF achieved (the fluid actually removed), then capture the adequacy results — Kt/V and URR, the two standard measures of how thoroughly the blood was cleaned. Press “Mark Complete”.
5. Dialysis Nurse — in the Sign Session step, enter your 6-digit eSign PIN and press “Sign & Bill”. The record is locked, and the session fee and consumable charges are raised.

Note

The pre and post weights are entered in kilograms and the difference against the patient’s dry weight tells the unit whether enough fluid came off. The adequacy trend on the patient’s Renal Record charts Kt/V across signed sessions against the ≥ 1.2 target.

Caution

A signed session is locked — it cannot be edited or cancelled. Record everything before you sign; if a signed record is wrong, correct it through Veona’s central amendment flow rather than re-recording. (You can only cancel a session before it is signed.)

What happens next

The completed, signed session is on the record for good. Its fee and consumables are now charges on the patient’s bill, and the run feeds the unit’s Pulse metrics — sessions delivered, adequacy, and revenue. The next guide follows that money and those numbers.

Follow the trail

• Previous: Schedule a Patient’s Recurring Sessions
• Next: Bill a Dialysis Session and Feed Pulse
• Related: Enrol a Patient and Write the Dialysis Prescription