CAPD Exchange Procedure

stay •safe®
Important: With this and all Peritoneal Dialysis procedures, always maintain aseptic technique. Important: This procedure card is not intended to replace the advice or training from your physician or PD nurse. Important: Please refer to the Instructions For Use (IFU) for detailed information on device description,
This information is provided for quick reference only. instructions, contraindication warnings and precautions.

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Clean the work surface and gather the Retrieve catheter and close your extension set Check your solution: Pick up the stay •safe® disc with its colored Position the organizer at the edge of your Hang the solution bag on an IV pole and
supplies needed for the exchange: clamp. Put on your mask. Everyone in the Strength: Make sure that you have the correct plastic cover. Turn the blue dial on the disc work surface or on the IV pole. Place the disc place the drain bag on the floor.
• Mask room must also put on a mask.Wash your dextrose concentration counterclockwise until it fits into the cut-out into the organizer as shown. Break the frangible in the solution
• Warmed peritoneal dialysis solution hands. Open the solution bag by tearing from Clarity: Check that the solution is clear portion of the plastic cover. Remove the bag outlet port.
Amount: 2, 3 or 5L volume
• stay •safe® cap a notched edge of the package overwrap. Leaks: Squeeze the bag to check for leaks plastic cover after the dial is in the cut-out.
• stay •safe®organizer Wipe off any moisture on the bag surface. Expiration: Check the expiration date The blue dial will be at Position 1 ( ).

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Remove the stay •safe® cap from Wash hands again or apply antibacterial
its package. Place the cap in one of the two hand gel, per your clinic protocol. Place the
notches on the organizer. end of your extension set in the other organizer
notch. Remove the protective cap from the
stay •safe® disc. Discard the cap.
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Unscrew your extension set from its cap. Immediately connect the extension set to the Open the clamp on your extension set. When your drain is complete, turn the dial
The cap will remain in the organizer. stay •safe® disc. After making this You will start to drain as soon as the clamp to Position 2 ( ). This will start the
connection, you may remove your mask. is opened. flush from the fill bag to the drain bag.
Make sure the line between the solution
bag and disc fills completely.

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After about 5 seconds, turn the When the fill is complete, turn the indicator
indicator to Position 3 ( ). to the very end of Position 4 ( ).
This will start the fill to your abdomen. This will insert the closure pin from the disc
into the end of the extension set. You will feel
a “click” when you get to the last position.
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Close the clamp on your extension set. Unscrew your extension set from the disc. Immediately attach your extension set to the If desired, place the protective cover from your new
Unscrew the protective cover from the new new stay •safe® cap. Remove your stay •safe® cap on the used cap. Then remove
stay •safe® cap. capped extension set from the organizer the cap from the organizer and place the other end
and secure it to your abdomen. of the cover on the disc to prevent drips. Record your
Note: If you wish to stop the procedure during any step, please turn the blue exchange on your flow sheet and discard the used
dial to “ “ to activate the safety lock with the PIN. tubing and solution as instructed by your facility.
Also Available from Fresenius Medical Care

Basic Training Flyers

These are just some of the flyers that are available for your nursing staff to use in helping you
understand what peritoneal dialysis is and helping you remember: to follow steps that will keep your
procedure clean and how to check to make sure the treatment is working well for you. If you are
interested in learning more about these flyers or receiving copies of your own, please ask your PD nurse.

Understanding PD Your Daily Routine

Provides a brief A basic guide for routine

explanation of the clinical activities such as
peritoneal dialysis taking blood pressures
exchange and weight

Trouble-Shooting Catheter &

Exchange Problems Exit Site Care

A basic guide for Provides useful

resolving common issues information for caring
that occur during your for your peritoneal
dialysis exchange dialysis catheter

Managing Getting Ready to Do

Your Fluid Balance Your Exchange

Provides guidelines to A step-by-step guide

identify fluid overload for making sure your
and dehydration exchange area is clean

For inquiries or questions, please contact your clinic’s PD nurse.

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100290-01 Rev 06 10/2010