Policies on Schedule and Billing of Patients

1. Patient's schedule should be coursed through a hemodialysis nurse
2. The unit with it's 5 machines can accomodate a maximum of 10 patients a day except on Wednesday wherein only 6 -8 patients can be accomodated. Vacant slots are intended for ARF cases.
3. The starting time of hemodialysis is 7:00-7:45 A.M. and 12:00 - 1:00 P.M. Patients are required to be present before 7:45 A.M. and before 1: 00 P.M..Patients arriving after the said time shall get a corresponding time reduction in the duration of hemodialysis.
4. The official consent form should be signed on the first day of hemodialysis. For the succeeding hemodialysis, the patient or his/her nearest kin signs the consent on the space provided for in the hemodialysis sheet.
5. New CRF patients shall be listed in the waiting and can be accomodated on first come, first serve basis
6. The dialyzer and machines intended for patients who are scheduled for the day shall be prepared 30 minutes to one hour before patient arrives in the unit to reduce waiting time. In the event wherein the patient is absent without prior notice or arrangement with the head nurse or the charge nurse, the patient shall be charged the expenses incurred and have to replaced the supplies used in the preparation of his/her dialyzer. Absences on more than 2 consecutive schedules without prior notice or arrangement shall be a ground for termination of regular hemodialysis schedule.
7. In cases of emergency dialysis, acute renal failure cases and regular hemodialysis patients of the unit are given top priority. New patients who are diagnosed as CRF and who need immediate hemodialysis should follow statement # 5.
8. The resident in charge with the Nephro consultant should evaluate the frequency of hemodialysis procedure regularly.
   1. If the Nephro physician decides to increase the frequency of hemodialysis session of a particular patient but there's no available time slot , the patient is temporarily advised to have his additional dialysis session in other private dialysis center until such time that he will be accomodated.
9. Hemodialysis nurse should bill all patient every dialysis session. In case of ARF patients, statement of account must be attached to patient's chart and can be settled upon discharge.
10. Official receipt must be recorded on the patient chart and logbook intended for it.