DEPARTMENT OF INTERNAL MEDICINE

Admission Policies

1. The following cases will be admitted for hemodialysis in accordance with these order of priorities:
   1. Acute renal failure cases: Acute renal failure cases should be thoroughly assessed by the Nephro residents and properly referred to consultant.
   2. Acute poisoning due to dialyzable toxins
   3. Renal failure of undetermined chronicity.
      1. Patient should be informed that the slot is temporary
      2. If there is no regular slot that is available during working hours ( 7:00 A.M. - 6:00 P.M.) , the staff could go on overtime, to accomodate such patients
      3. Patient will be listed in the waiting list and has a higher priority over other CRF patients from the hospital
      4. If final diagnosis of CRF has been established, the patient will only be accomodated if in case vacancy is available due to an absent patient on schedule
   4. Candidate for renal transplant whose schedule is expected to be carried out within the year's period.
   5. Chronic renal failure patients must be scheduled on a first come,first serve basis
      1. Only DMC employees and it's immediate family members should be given top priority over other CRF patients whenever slot is available
   6. Acute renal failure secondary to malignancy and other end stage medical problem should be dealt judiciously by hemodialysis team before admission to the hemodialysis unit for treatment. Nephro resident should properly orient the patient regarding his/her present condition and inform the family regarding the prognosis of the patient
2. Chronic renal failure patients who have regular slot at a private dialysis center and subsequently admitted at Davao Medical Center will still be advised to continue with his/her hemodialysis at a private dialysis center.
3. Transient hemodialysis patient will not be accomodated in hemodialysis unit of Davao Medical Center ( e.g. tourist, " balikbayan" )
4. Admission to the hemodialysis unit should be decided by the section head and the Nephrology consultant assigned in coordination with the social service sector.
5. Personnel are discouraged to intervene with the address of case.
6. Newly admitted patients to regular hemodialysis program are required to submit the following laboratory results :
   • CBC, Blood typing
   • Urinalysis
   • Serum creatinine
   • SUA
   • Na and K determination
   • Cholesterol
   • Hepatitis profile : HbS Ag, anti - HbS, anti-HCV
   • HIV
   • Chest X-ray with official result
   • Clinical summary with hemodialysis orders
7. All newly admitted patients should be given a case number and logged in the Hemodialysis Patients registry logbook for regular hemodialysis program