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Article D6124-80 of the French Public Health Code

All self-dialysis units operate with the assistance of nephrologists who are qualified or competent in nephrology. The team of nephrologists may be shared with that of a haemodialysis centre or a medical dialysis unit. This team is on call twenty-four hours a day to respond to any medical emergencies for patients undergoing dialysis in the unit. This on-call service may also be provided under the conditions set out in article…

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Article D6124-81 of the French Public Health Code

The so-called simple self-dialysis unit has at least one nurse trained in haemodialysis for every eight patients treated, without prejudice to other paramedical staff. The assisted self-dialysis unit has at least one nurse trained in haemodialysis for every six patients treated, without prejudice to other paramedical staff. All units have a nurse on duty during the session, even when only two patients are being treated simultaneously.

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Article D6124-82 of the French Public Health Code

The premises in which the simple self-dialysis unit or the assisted self-dialysis unit is installed may be shared by these units, a medical dialysis unit or a haemodialysis centre. In this case, the patients treated simultaneously are dialysed in separate rooms, depending on whether simple self-dialysis, assisted self-dialysis or medicalised dialysis is involved. However, it is possible to treat a group of haemodialysis patients successively in the same room in…

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Article D6124-83 of the French Public Health Code

In the simple self-dialysis unit, each patient is allocated a dialysis machine, without sharing, to ensure a wide range of treatment times. Patients themselves monitor the dialysis session and clean and disinfect the machine themselves. In the assisted self-dialysis unit, a haemodialysis station can only be used by a maximum of two patients per day, to allow them to have longer sessions if they so wish or if medically indicated….

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Article D6124-84 of the French Public Health Code

The implementation of home haemodialysis, as defined in article R. 6123-66, is managed by a healthcare establishment, which holds an authorisation to treat chronic renal failure by means of extrarenal purification. This healthcare establishment installs a haemodialysis machine and a system producing water for haemodialysis in the home of the patient it cares for. It also provides the medicines, items and products directly involved in carrying out the haemodialysis treatment….

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Article D6124-85 of the French Public Health Code

The managing health care establishment provides appropriate training for the patient and the third party who will assist him, either in a haemodialysis centre, in a medical dialysis unit or in an independent haemodialysis training unit. The managing health establishment enlists the help of a team of nephrologists, each member of which is qualified or competent in nephrology. A nephrologist is on call twenty-four hours a day to respond to…

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Article D6124-86 of the French Public Health Code

The patient’s home or place of residence is suitable for the practice of peritoneal dialysis in sufficient conditions of safety and comfort. When the patient’s condition requires the assistance of a third party who cannot be found in the patient’s usual environment, a nurse is called in. The patient and the third party are trained in peritoneal dialysis. Patients are trained in the technique of peritoneal dialysis, under the supervision…

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Article D6124-87 of the French Public Health Code

The establishment enlists the help of a team of nephrologists, each member of which is qualified or competent in nephrology. Where there is a peritoneal dialysis training and monitoring unit, the medical team may be shared by the managing health establishment and this unit. The aforementioned team of nephrologists is on call twenty-four hours a day to respond to any medical emergencies for peritoneal dialysis patients treated by the managing…

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Article D6124-88 of the French Public Health Code

The healthcare establishment managing the peritoneal dialysis will, at the patient’s request or on medical prescription, temporarily transfer the patient to a haemodialysis centre, or, if necessary, refer the patient to another treatment modality or to hospital. When peritoneal dialysis is no longer suited to the patient’s condition, the patient is always transferred to a haemodialysis centre and then, if his condition allows, to a haemodialysis method outside the centre….

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Article D6124-89 of the French Public Health Code

The healthcare establishment has a healthcare team, which may be shared with that of the peritoneal dialysis training and monitoring unit. This team includes nurses who must be trained in peritoneal dialysis. Members of the healthcare team may visit patients at home. Any healthcare establishment that provides all the services for the care of peritoneal dialysis patients, as mentioned in article R. 6123-67, has one full-time nurse for every ten…

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