Location Map FAQ
St. Maarten Medical Center
This brochure was created to give persons
who are interested in learning about and
working at the dialysis department
information about the theoretical and
practical part of the dialysis nurse course and
The Dialysis Department is situated west of the Emergency Room. We are open from Monday to Saturday 7am to 8pm. There are 2 types of dialysis, hemodialysis and peritoneal dialysis. There are about 36 hemodialysis patients (2013). At this time we do not have any Peritoneal Dialysis (PD) patients. PD patients basically perform their procedure at home and come to the dialysis for checkups.
Hemodialysis is a treatment that is done with the help of an artificial kidney (dialyzer).
Consider a container divided by a vertical cellophane partition. One side of the tank is filled with blood. The other, with a solution of certain minerals and water (the dialysate bath). The partition forms what is known as a semipermeable membrane. So some substances will pass through it, but others will not.
Normal blood is 90% water. Molecules of water in our two compartment tanks will pass freely back and forth through the cellophane membrane between the blood and the bath. However, blood also contains red and white cells, protein, fat, sugar, minerals (called electrolytes) and waste products.
The red and white cells are much too large to pass through the cellophane, so they will stay in the blood compartment. The same is true of the fat and protein molecules. However, electrolytes, because of their small molecular size, pass freely (or “dialyze”) through the cellophane membrane in both directions.
The dialysis machine mixes and monitors the dialysate. Dialysate or bath water, is the ﬂuid that helps remove the unwanted waste products from your blood. It also helps get your electrolytes and minerals to their proper levels. The machine also monitors the ﬂow of blood while it is outside of the body.
The goal is that through the schooling, students can learn how to execute a dialysis treatment independently. The trained dialysis nurse:
Hemodialysis is a serious responsibility, but patients don't have to shoulder it alone. It requires a coordinated eﬀort from the whole health care team. The most important members of the health care team are the patients and their family. By learning about the treatment, they can work with the health care team to give them the best possible results, and they can lead a full, active life.
For some patients, accepting and processing their dependence on the machine can be upsetting and it can also lower their selfesteem and independence. Some patients pass through a mourning process or a difficult time. The nurse is there for the patients, to guide and motivate them through the whole process.
It is also very important that we pay attention into giving information to patients and their family regarding their condition. To achieve this, communication skills are very important. It is also essential to have good work ethics, have a positive outlook and focus on the patient’s needs.
We hope that after reading this booklet, you get an impression of what is awaiting you if you choose to work at our dialysis department. You can contact our education department for more information about the theoretical part of