Your nephrologist writes and owns the dialysis prescription, reviews your results monthly, and remains clinically responsible for your treatment wherever it happens.
What to know
- Sets the prescription: session length, frequency, dialysate composition, blood and dialysate flow rates, and target dry weight.
- Reviews monthly bloods and adjusts the prescription as your clinical picture changes.
- Decides when access problems, adequacy problems or symptoms need intervention.
- Coordinates transplant workup and referral if that is a path you want to explore.
Talk to your care team
This topic is part of Understanding Home Hemodialysis, one of ten modules in the Trivita Learning Hub. If anything here contradicts what your own nephrologist or dialysis nurse has told you, follow your care team — they know your prescription, your access and your history.
Trivita's dialysis nurses answer our care line 24 hours a day on 055 242 1070, including for people who are not yet our patients.