Clinics & Inpatient Care Units
Renal Services - Home Dialysis
St. Michael’s is recognized as a Centre of Practice by the Ontario Renal Network for Dialysis Body Access.
Patients in this program can choose between one of the home modalities: hemodialysis or peritoneal dialysis. For patients participating in the program, we have a training facility open Monday to Friday, with a nurse on call at night and on weekends. Expertise in adult education is provided by the home dialysis nurse with one-on-one training for patients. We also provide ongoing education about home dialysis for patients and their families.
We started our home hemodialysis program in January 2003. Today, 30 patients use our daily and nocturnal treatment modalities. The monthly average hours per machine are 100 hours per patients on daily dialysis and 300 hours per patients on nocturnal dialysis.
The home hemodialysis program has five machines for training and hemodialysis evaluation. In collaboration with service partners, the nursing staff and a clinical technologist initially assess the home setting and recommend the best configuration for equipment installation. A clinical technologist makes monthly visits to ensure the machines meet approved standards for water purification, equipment integrity and environment. Water and dialysate samples are collected for microbiology and pyrogens, and are analyzed in accordance with CSA standards.
Patients choose between continuous ambulatory peritoneal dialysis (CAPD) and continuous cycling peritoneal dialysis (CCPD). In CAPD, dialysis fluid is administered to the abdomen four to five times daily and is drained after several hours. There is no machinery required for this type of dialysis. In CCPD, the patient is attached to a machine that performs all the filling and draining of the fluid automatically. The machine administers the fluid every night for eight to ten hours, and some patients require and additional fill during the day.
Home Dialysis Program
8 Cardinal Carter North
St. Michael's Hospital
30 Bond Street
M5B 1W8, Canada
Hours: Home dialysis training is scheduled Monday to Friday for six hours each day. Patients receive dialysis during the training sessions. After successful training, patients attend the Home Dialysis Clinic a clinic every eight weeks. It is held Tuesdays, 12:30 p.m. - 4 p.m.