Scope of Service
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PATIENT CARE DEPARTMENT

Scope of Service:

The Renal Transplant Clinics is a hospital-based Transplant center providing comprehensive nursing care for adult and pediatric patients requiring Renal Transplant as a treatment modality for End Stage Renal Disease. Nursing care is provided in two clinics-Pre and Post Transplant.

Frequent Procedures/Services/Functions: 

●  Patient and family education

●  Pre and post transplant evaluation and management

●  Nursing assessment and use of nursing process

●  Psychosocial assessment and intervention

●  On-call coordination of potential transplant

●  Ultrasound guided renal, bone marrow and liver biopsies

Hours of Operation:

Saturday – Tuesday:                  0800 - 1800 hrs

Wednesday:                               0800 - 1700 hrs

Physician/ Renal transplant nurse coordinators coverage:  24 hrs a day, seven days a week

Medication Refills:

Saturday   -   Wednesday:         0800 - 1600 hrs

Patient will call early in the morning for medication refill and to pick-up the prescription at 1600

Criteria for Admission of Service:

Patients needing transplants must be referred by other health care providers and are initially evaluated and approved for tertiary care through Medical Eligibility or Royal Order.

Staffing Plan:

Number and Mix of Staff

Total Full Time Employee’s                           17

Head Nurse PD/RTNC                                    1

Renal Transplant Coordinator                       2

Nurse Clinical Coordinator                            1

SN 1                                                              7

SN 11                                                            4

Ward Clerk                                                    2

Post Renal Transplant Consultant Clinic Schedule:

Day Time Consultant
Saturday 13h00 - 17h00 hrs Dr Al Hassoun

Dr Al Mojali

Dr Al Abbad

Dr Al Akas

Sunday 13h00 - 17h00 hrs Dr Al Furayh
Monday 13h00 - 17h00 hrs Dr Al Meshari

Dr Hamawi

Dr Abdulbaki

Tuesday 13h00 - 17h00 hrs Dr Al Lehbi
Wednesday 13h00 - 17h00 hrs Dr Al Ahmadi

Dr Chaballout

 

In the Pre Renal Transplant Clinic, each nurse works independently utilizing the primary nursing care process. The nurse,

in collaboration with the Renal Transplant Program team, is responsible for coordinating the patient’s work-up.

Potential recipients and donors are assessed for their suitability for transplant/donation and followed by the primary nurse until admission for surgery.

In the Post Renal Transplant Clinic, each nurse works in their respective assignment utilizing the primary nursing care process. The nurse assign is responsible to the Nephrology/Combined Post Renal Transplant Surgical Clinics, biopsies, triaging walk-in patients.

The Renal Nurse Transplant Coordinator’s are responsible for coordinating cadaveric and living related renal transplants. They perform in the role of consultants to the multidisciplinary team during the patient’s treatment.

The Renal Nurse Clinical Coordinator is responsible to perform education to patient and facilitate clearances of work-up patients.

Method of Adjusting to Staffing Variances:

The Head Nurse makes adjustments in staffing based on the volume of patients/procedures, skill level of staff and number of bilingual or bilingual physicians attending the clinic. When additional staff is needed, adjustments in assignments are made from different units within Hemodialysis and peritoneal dialysis clinic staff that are crossed trained.

Qualifications of Staff:

Qualifications/Licenses/Certifications Required of Staff:

Nurse Clinical Coordinators:

●  Bachelor of Science in Nursing

●  Current license from country of origin

●  Mandatory Education i.e. Fire Safety, Electrical Safety and Infection Control

●  BCLS

Staff Nurse I, II:

●  Current license from country of origin

●  Mandatory education i.e. Fire Safety, Electrical Safety and Infection Control

●  BCLS

Ward Clerks:

●  Mandatory Education

How are in-services/continuing education programs provided to maintain staff competency?

Staff meetings are held monthly and additional meetings are scheduled as needed. Staff development in-services are posted on the bulletin board to disseminate information. New/review of policy and procedures are in-serviced by the clinician.

 Required Competencies:

●  Code Green/Blue

●  Oxygen and suction review

●  Aseptic Technique

●  Basic Adult/Pediatric Assessment

Method of Communication with other Department Programs:

Internal and External Methods of Communication

Internally, direct verbal communication between physicians and other team members occurs throughout the day. Bulletin boards, an APP and Management Notifications book and Minutes of the meetings book are used for written communication.

Externally, the clinic communicates with nursing units and multiple departments via telephone, facsimile, and written memos.

Externally, staff members attend a number of Hospital committees including:

●  Clinical Pathways meetings

●  Nursing Management

●  Head Nurse Meetings

●  Patient Education Committee

Describe Collaborative Relationships with Other Departments:

●  The Renal Transplant Program solicits and initiates interdisciplinary practice via

     Renal   Transplant   Patient   Conferences.   Staff   members involved with the

     Patient  Education   committee   and   Collaborative   Practice meetings.  Members of

     medicine, surgery, nursing, dietary, educator and social worker attend both meetings.

●  Staff from Renal Transplant participates in clinical pathway development with personnel

    from other departments.

●  Appointment clerks are available in the clinic area to facilitate future clinic appointments.

Lay-Out of Clinic Areas:

Post renal Transplant Staff Station

●  Room I      -           Post Renal Examination/Vital Signs Room

●  Room 2      -           Office of the Administrator Coordinator

●  Room 3      -           Office of the Renal Transplant Coordinator and Secretary

●  Room 5      -           Post Renal Examination Room/Vital Signs Room

●  Room 7      -           Procedure Room

●  Room 9      -           File Room/Nurse Clinical Coordinator Office

 Pre-Renal Transplant Staff Station

●  Room 4      -           Pre Renal Examination Room/Vital Signs Room

●  Room 8      -           Pre Renal Examination Room/Vital Signs Room

Post Renal Transplant clinic, nurses assigned is given specific function on a weekly/monthly rotation basis.

Nurse 1    -    Computer   -    weekly rotation

           ●  Transcribe laboratory results in the Post Renal Transplant Flow Sheet

            ●  Carry out orders of the nephrologists

            ●  Prepare the protocol orders of kidney, liver, bone marrow biopsy

            ●  Booking the DMU/DSU biopsy schedule

            ●  Answer phone calls and cover the Ward Clerk if not available

            ●  Assist the ward clerk to call the patient for any medication changes

            ●  Coordinate with the Social Worker for the financial assistance and

                accommodation needed

            ●  Coordinate with the RTNC Health Educator for the medication education

            ●  Coordinate with the Patient Relation for any problem(s) that have arisen

            ●  Organize the pending results for the nephrologists to review

            ●  Help nurse # 3 in carrying out orders if the pediatric nurse reliever is not available

 Nurse 2    -    Consultant    -    weekly rotation

            ●  Assist post transplant patient from 1 month to 6 months transplantation

            ●  Assist the vital signs and medication review

            ●  Assist the patient for signs and symptoms after the surgery

            ●  Scheduling the patient to the Nephrologists

            ●  Assist the Nephrologists for AM examination

            ●  Transcribe the laboratory results for P.M. Post Renal Transplant Consultants clinic

            ●  Assist the Post Renal Transplant Consultants clinic

            ●  Coordinate with the consultant for the medication changes of the patients

            ●  Review the prescribed medications and instruct the patient for medication changes

            ●  Organize the RTNC files for pending results and request the chart on the following

                day for the Nephrologists to review

 Nurse 3    -    Pediatric    -    monthly rotation

           ●  Assessment of pediatric patients, vital signs and medication review

           ●  Transcribe latest laboratory result

           ●  Triaging walk-in patients

           ●  Organize medication refills

           ●  Assist pediatric nephrologists

           ●  Assist the # 2 Nurse to do vital signs and review the medications if there isn’t any

               pediatric patients

           ●  Assist the nephrologists if the nurse # 2 has a Post Renal Transplant Consultant clinic

           ●  Follow-up pending results of pediatric patients in organizing the RTNC files and to

               request the chart on the following day for the pediatric Nephrologists to review

 Nurse 4     -    Nurse Clinic    -     weekly rotation

             ●  Assist patient transplanted for more than 6 months from the date of transplant

             ●  Assessment of vital signs and medication review

             ●  Assist the Nephrologists for A.M. and P.M. examination

             ●  Organize the medication refills

             ●  Triaging the walk-in patients

             ●  Scheduling the patient to the Nephrologists

             ●  Transcribe the latest laboratory results

             ●  Prepare the procedure room for the renal, liver, bone marrow biopsy

             ●  Assist the physician/nephrologists during the procedure

             ●  Assist the ward clerk to call the patient for any medication changes

             ●  Organize the RTNC files for pending results and request the chart on the following

                 day for the nephrologists to review 

Nurse 5     -    Nurse Clinic Reliever    -    weekly rotation

            ●  Assessment for the nurse clinic patients, vital signs and medication review

            ●  Relieve the nurse # 4 when there is a biopsy procedure

            ●  Carrying out orders of the Nephrologists

            ●  Help in transcribing laboratory results

            ●  Prepare the examination room

            ●  Assist the nephrologists for examination

            ●  Assist the ward clerk to call patient for any medication changes

            ●  Help in organizing the RTNC files for pending laboratory results and request the

                chart on the following day for the Nephrologists to review

            ●  Help nurse # 2 in the Post Renal transplant Consultant clinic

Nurse 6     -    Pediatric Nurse Reliever    -   monthly rotation

           ●  Assessment the pediatric patients, vital signs and medication review

           ●  Assist the Nephrologists for examination

           ●  Prepare the examination room

           ●  Help carrying out orders of the Pediatric Nephrologists

           ●  Transcribing laboratory results

           ●  Help nurse # 3 in the Post Renal Transplant Pediatric Consultant clinic

           ●  Assist the ward clerk for any medication changes

           ●  Help in organizing the RTNC files for pending laboratory results and request the

               chart on the following day for the Nephrologists to review

           ●  Assist the Nephrologists if the nurse # 2 has a Post Renal Transplant Consultant clinic

Different Areas Related to Renal Transplant:

            ●  Surgical Clinic

            ●  Pediatric Clinic

            ●  Internal Medicine

            ●  Hemodialysis

            ●  Peritonial Dialysis

            ●  Respiratory Department

            ●  Dental

            ●  Pharmacy

●  Laboratory    -    Immunology, Pathology, Hematology, Chemistry, Serology, Microbiology

            ●  Fine Needle Aspiration Unit (FNA)

            ●  Radiology    -     Chest X-Ray, Ultrasound, MRI, Angiogram

            ●  ECG; Echo Department

            ●  Appointment and Registration Desk

            ●  Cashier

The Internal Policy and Procedure (IPP):

A master manual is kept in the Head Nurse office. All IPP’s/APP’s can be assessed via the KFSH & RC Intranet

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