Alkhezam dialysis and nephrology center is considered to be one of the most important dialysis centers in Kuwait, and the largest in term of number of patients, it is located at Al-Adan hospital and covers the Ahmedi Health Area.
The center has all dialysis modalities (Hemodialysis and Peritoneal dialysis) and includes out patient services that deal with acute and chronic kidney diseases. Chronic kidney disease specialized clinic and renal Transplant Workup clinic.
The center also covers consultations from different departments from the Adan hospital including; Intensive care unit, Aldabos Cardiac center and other medical and surgical wards.
The center consists of 3 floors ( Ground, first , and second).
1-Ground floor it contains:
2-first floor it contains:
3-second floor it contains:
Team from doctors ( consultant, specialists, senior GP {A}, senior GP {B}, registrars) are responsible for daily follow-up all the patients that have renal disease or have any disease that caused deterioration of kidney functions either in acute form or chronic form , this follow-up is carried out daily by center’s doctors in all the hospital wards , ICU ,and CCU. Another similar team is doing daily follow-up in the center for end stage renal patients who are already on hemodialysis or peritoneal dialysis in the center.
Morning meeting ( Signing in ):
There is daily signing in morning meeting in which all doctors discussing the issues about the patients whom already seen in the last days and following up the result of the decision that were already taken by them, and also discussing the newly patients added to the nephrology patients’s list before seeing them in the daily round (these cases who entered the hospital in the previous day or nephrology team had been consulted to see them during the previous day in the evening or night shift).
Daily round (follow-up):
Every day in the morning after finishing the morning signing in meeting the doctors will go to do the daily round to see all the nephrology patients that are already admitted in different wards of Adan hospital including ICU and CCU. Other nephrology team will do the round in the center for pt on dialysis either ( hemo or peritoneal ).
Singing out meeting :
After doing the wards round there is short meeting as signing out in which doctors have to inform the doctors who will be on duty about their patients and about what will be done for them during the day and what they should follow . Also there is a special weekend signing out meeting on every Thursday afternoon in which all doctors have to give a summary about their cases and about treatment that they will receive during the weekend.
As this is the largest dialysis and nephrology center in Kuwait so we have to think about the future vision , many ideas are on their way to be accomplished some of them are :
As Al-Khezam center considered to be the largest center in Kuwait in numbers of chronic kidney disease patients who are being on dialysis .
It conducts service of conventional hemodialysis 3 times/week for about 375 patients (197 male pts, and 178 female pts). Hemodialysis services offered over 4 shifts a day between 6am till 2 am the next day. About 5000 hemodialysis sessions are being given every month (60000 hemodialysis sessions /year).
Machines in the center can be divided as:
The OPD is located at the ground level, it consists of 4 rooms. The clinic working hours from 8am-1pm Sunday to Thursday.
Outpatients clinics services:
Evaluation clinics:
To ensure minimal waiting time this clinic is responsible for all new cases refered from other OPD in the hospital. A full workup and investigations will be arranged. Once workup and diagnosis established patients will be refered to the Follow-up clinic.
Follow-up clinics:
Clinics offer services for patients suffer from kidney diseases that include chronic and acute disorders including; Diabetic nephropathy, Hypertension, Glomerulonephritis , Fluid and electrolytes and acid base disorders.
Advanced CKD clinic :
This specialsed clinic deals with patients suffering from advanced renal disease (CKD stages 4 and 5), offers the patients and relatives all the information about the dialysis modalities and to refer the patient to vascular surgery OPD clinic for creation of permanent vascular access for dialysis like arterio-venous fistula (AVF). As well its covers other aspects like patients psychosocial and nutritional health
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