Asian J. Med. Biol. Res. 2020, 6 (4), 683-688; doi: 10.3329/ajmbr.v6i4.51234 Asian Journal of Medical and Biological Research ISSN 2411-4472 (Print) 2412-5571 (Online) www.ebupress.com/journal/ajmbr Article Management of hemodialysis unit in a specialized hospital Arifa Sultana 1 *, Ashees Kumar Saha 2 , Afsana Bilkis 3 , Papia Sultana 4 , Sajeda Khatun 5 and Kazi Jahangir Hossain 6 1 National Institute of Cardio Vascular Diseases (NICVD), Dhaka, Bangladesh 2 Nursing Officer, Upazila Health Complex, Bagha, Rajshahi, Bangladesh 3 Khulna Medical College Hospital, Khulna, Bangladesh 4 National Institute of ENT, Tejgoan, Dhaka, Bangladesh 5 Dinajpur Nursing College, Dinajpur, Bangladesh 6 NIPSOM, Mohakhali, Dhaka, Bangladesh *Corresponding author: Arifa Sultana, National Institute of Cardio Vascular Diseases (NICVD), Dhaka, Bangladesh. Phone: +8801728877088; E-mail: arifasultana915@gmail.com Received: 10 November 2020/Accepted: 24 December 2020/ Published: 31 December 2020 Abstract: Chronic Kidney disease is becoming a global public health problem throughout the world. The aim of the study was to assess management status of the hemodialysis unit in a specialized hospital. It was a hospital based descriptive cross sectional study. A total of 17 participants were selected by purposive sampling method on the basis of defined selection criteria from January 2015 to December 2016. The place of study was National Institute of Kidney Diseases and Urology (NIKDU) hospital, Dhaka. The research instruments were a semi structured questionnaire and a checklist. The socio-demographic status of the respondents showed that 11.8 %( n=02) were doctor, 58.8 %( n=10) nurses and 29.4 %( n=05) were technician. Mean age of care providers was 38.82±8.79 years. Majority of respondents, were satisfied regarding the unit including physical facilities 76.5% (n=13) cleanliness of the unit 58.8% (n=10) and medical record facility 52.9% (n=9). Need to strengthen infection control measure and BCC activities among the service providers to improve the management status of the hemodialysis unit of NIKDU hospital. Keywords: dialysis; hemodialysis; chronic kidney disease (CKD); dialyzer; vascular access; equipment facility 1. Introduction Renal Dialysis is a medical process that becomes necessary when the normal functions of the kidneys become compromised by reduced kidney function and kidney failure. This may be due to disease, injury, infection or genetic factors. Renal failure may be classified as either Acute Renal Failure or chronic Kidney Disease. Haemodialysis and Peritoneal dialysis services involve filtering the blood of excess fluid, and waste products normally filtered by the kidneys. Haemodialysis is a treatment for end stage renal failure where the function of the kidneys to remove substances from the blood is replaced by the use of a haemodialysis (dialysis) machine. Haemodialysis requires the patient to have one of the following - arterio-venous fistula, vein graft (artificial graft) or central line catheter inserted into their neck or upper chest for dialysis. Haemodialysis management may require the patient to undergo dialysis for 3 to 6 hours on a daily basis over 3 to 4 days a week (International Health Facility Guidelines, 2014). The purpose of renal replacement therapy with hemodialysis (HD) is to keep renal patients in optimal conditions and improve their quality of life during the transition to transplantation or death. Health professionals and the patients’ family must work as a team for providing quality care to these patients (Tejada-Tayabas et al., 2015). The number of hemodialysis patients and dialysis facilities is increasing each year, but there are no surveillance programs validating that the services and equipment of each hemodialysis unit meet specified safety and quality standards. There is a concern that excessive competition and illegal activities committed by some dialysis