
eHomeCare - Dialysis in Home
Overview
Home dialysis for children requires careful planning, training, and ongoing support from healthcare providers. It can significantly enhance the child’s quality of life while managing their renal health effectively. Home dialysis can improve the child’s quality of life by providing more flexibility, reducing travel to dialysis centers, and allowing for greater independence and family involvement in care. Comprehensive training on how to perform dialysis procedures safely at home includes: techniques for sterile procedures, recognizing signs of infection or complications, and managing supplies, medications, and equipment. Caregivers must ensure adherence to the prescribed dialysis schedule, medication administration, and follow-up care.
Practice Gaps and Needs
According to available data, the number of children requiring medically complex care at home is steadily increasing, with estimates suggesting that around 1.6% of children in the United States fall under this category, representing a significant portion of the pediatric population with substantial healthcare needs; this trend is attributed to advancements in medical technology allowing children with previously untreatable conditions to survive and live longer at home, often requiring specialized equipment and ongoing medical support.
With the growing number of children requiring complex medical care at home, there is an urgent need for current and accessible educational resources to enhance the quality and safety of care. The eHomeCare Expansion series addresses this need by offering comprehensive, on-demand training modules that cover essential topics, including central line care, home dialysis, infection control, boundary setting, skin care, range of motion exercises, and daily care activities. These courses are specifically designed to bridge knowledge gaps and enhance caregivers' confidence and competence in managing both routine and emergency situations.
Elements of Competence
This continuing education intervention is designed to change learner competence and focuses on the American Board of Medical Specialties' areas of patient care and procedural skills, medical knowledge, Institute of Medicine areas of employing evidence-based practice and providing patient/person-centered care, and the Interprofessional and Nursing area of roles/responsibilities.
Access after Completion
Upon completion of this course, you will have access to it as a reference until the course expiration date.
Intended Audience
eHomeCare was specifically developed to support home care nurses; however, it is also beneficial for anyone interested in enhancing their understanding of caring for children with complex medical needs at home. This includes physicians, respiratory therapists, other home care providers, family caregivers, and students.
Learning Objectives
After participating in eHomeCare - Dialysis in Home, attendees will be able to:
- Explain the importance of infection prevention practices in home dialysis.
- Identify proper use of dialysis equipment and supplies needed for home dialysis.
- Recognize signs and symptoms of complications such as infection, catheter dysfunction, or fluid imbalance.
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We acknowledge the support of the University of Illinois Chicago’s Division of Specialized Care for Children (DSCC), whose collaboration and funding have allowed enhancements to the eHomeCare training program. DSCC’s support has enabled the development of this training module.
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eHomeCare is an online training program developed to deliver comprehensive, evidence-based information on the care of children requiring complex medical care at home. The program consists of eight distinct courses aimed at enhancing the knowledge, skills, and confidence of home care providers, including:
- Caring for Children with a Tracheostomy with/without a Ventilator
- Central Line Care
- Infection Control
- Setting Boundaries in the Home
- Skin Care
- Range of Motion
- Daily Care Activities for Children
eHomeCare is a partnership between Marquette University College of Nursing, University of Wisconsin-Madison School of Nursing, UW Health, American Family Children’s Hospital, Children’s Wisconsin, and University of Illinois Chicago’s Division of Specialized Care for Children.
Course Outline
- Overview of the Renal System
- Kidney Functions
- Chronic Kidney Disease
- Symptoms and Side Effects of Kidney Disease
- Common Causes of Chronic Renal Failure in Children
- Three Principles of Dialysis: Diffusion, Osmosis, Ultrafiltration
- Peritoneal Dialysis Process
- Peritoneal Dialysis Concept
- Types Of Peritoneal Dialysis
- Continuous Ambulatory Peritoneal Dialysis (CAPD)
- Continuous Cycling Peritoneal Dialysis (CCPD)
- Dialysate Solutions
- Peritoneal Dialysis Equipment
- Peritoneal Dialysis Catheter
- Transfer Set
- Care for the New Peritoneal Dialysis Catheter
- Care for the Peritoneal Dialysis Catheter
- Changing the PD catheter dressing
- Peritoneal Dialysis Catheter Complications
- Complications of Peritoneal Dialysis
- Peritoneal Dialysis-Related Peritonitis
- Hemodialysis
- Hemodialysis Process
- Access For Hemodialysis
- Central venous catheter (CVC)
- Arteriovenous Fistula (AVF)
- Arteriovenous Graft (AVG)
- Central Venous Catheter Complications
- Clots
- Infection
- Home Hemodialysis Process
- Vascular Access
- Anticoagulation
- Family remote monitoring and support
- Training and Education
- Home Hemodialysis Benefits and Drawbacks
- Hand Hygiene
- Patient and Environmental Hygiene
- Infections
- Peritonitis
- Central Line Associated Blood Stream Infections
- Considerations for Children with Progressed CKD Stages or on Dialysis
- Bone Disease in Patients
- Anemia
- Common Medications for Patients with End Stage Renal Disease (on Dialysis):
- Nutrition for Patients on Dialysis
AUTHORS
Lori Anderson, PhD, RN, CPNP-PC-Retired, NCSN-E Clinical Professor Emeritus University of Wisconsin - Madison School of Nursing | Emily Neibauer, MS, RN Manager, Solid Organ Transplant & Dialysis Children’s Wisconsin | Jessica Whittington MSN, APRN, CPNP-AC Chronic Dialysis Nurse Practitioner Ann & Robert H. Lurie Children’s Hospital of Chicago |
PLANNING COMMITTEE MEMBERS
*Kim Whitmore, RN, PhD, CPN Assistant Professor Marquette University, College of Nursing | Tyler Engel, Project Manager Barrier Buster Designs | Courtney Kerfoot , MA Integrated Program Support Specialist University of Illinois Chicago - Division of Specialized Care for Children |
Lori Anderson, PhD, RN, CPNP-PC-Retired, NCSN-E Clinical Professor Emeritus University of Wisconsin - Madison School of Nursing | Abby Hammes, PhD, RN-BC Pediatric Nurse | Nurse Researcher University of Wisconsin Hospital and Clinics | Hara Levy, MD, MMSc Co-director - Pediatric Cystic Fibrosis Center American Family Children’s Hospital |
Tera Bartelt, MS, RN Director of Ambulatory Clinical Practice Children's Wisconsin | Lindsey Hird-McCorry, BSN, RN, CPN Nurse Coordinator Lurie Children's Hospital | Julie Slattery, MS, FNP-C President UW Health Care Direct |
*Course Director
CONTENT REVIEWERS
Sarah Bell | Melissa Lupo |
Amanda Halatek, CCP | Peggy Nied, OT |
| Valerie Hon, RN | Erin Roderick, RN |
Jill Krell, RN | Yolanda Rivera, BSN, RN, CPN |
Hara Levy, MD, MMSc | Tyler Robinson |
EDITOR
Lori Anderson, PhD, RN, CPNP-PC-Retired, NCSN-E
POLICY ON DISCLOSURE
It is the policy of the University of Wisconsin–Madison Interprofessional Continuing Education Partnership (ICEP) to identify, mitigate and disclose all relevant financial relationships with ineligible companies* held by the speakers/presenters, authors, planners, and other persons who may influence content of this accredited continuing education (CE). In addition, speakers, presenters and authors must disclose any planned discussion of unlabeled/unapproved uses of drugs or devices during their presentation.
For this accredited continuing education activity all relevant financial relationships have been mitigated and detailed disclosures are listed below.
*Ineligible companies are those whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on, patients.
The ACCME does not consider providers of clinical services directly to patients to be ineligible companies.
Name | Role | Financial Relationship Disclosures | Discussion of Unlabeled/Unapproved uses of drugs/devices in presentation? |
Kim Whitmore, RN, PhD, CPN Marquette University, College of Nursing | Course Director | No relevant relationships with ineligible companies to disclose | No |
| Lori Anderson, PhD, RN, CPNP-PC-Retired, NCSN-E University of Wisconsin - Madison School of Nursing | Project Manager | No relevant relationships with ineligible companies to disclose | No |
Tera Bartelt, MS, RN Children's Wisconsin | Committee Member | No relevant relationships with ineligible companies to disclose | No |
| Sarah Bell | Peer reviewer | No relevant relationships with ineligible companies to disclose | No |
Amanda David, DNP, RN Children’s Wisconsin | Author | No relevant relationships with ineligible companies to disclose | No |
Althea Denham, RN, COS-C, CCMC University of Wisconsin Hospitals and Clinics Authority | Author | No relevant relationships with ineligible companies to disclose | No |
Tyler Engel Barrier Buster Designs | Committee Member | No relevant relationships with ineligible companies to disclose | No |
Nicole Fahley, RN, BSN UW Health Care Direct | Author | No relevant relationships with ineligible companies to disclose | No |
Amy Feller BSN, RN UW Health Care Direct | Author | No relevant relationships with ineligible companies to disclose | No |
| Amanda Halatek, CCP | Peer reviewer | No relevant relationships with ineligible companies to disclose | No |
Abby Hammes, PhD, RN-BC University of Wisconsin Hospital and Clinics | Committee Member | No relevant relationships with ineligible companies to disclose | No |
Lindsey Hird-McCorry, BSN, RN, CPN Lurie Children's Hospital | Committee Member | No relevant relationships with ineligible companies to disclose | No |
| Valerie Hon, RN | Peer reviewer | No relevant relationships with ineligible companies to disclose | No |
Courtney Kerfoot , MA University of Illinois Chicago - Division of Specialized Care for Children | Committee Member | No relevant relationships with ineligible companies to disclose | No |
| Jill Krell, RN | Peer reviewer | No relevant relationships with ineligible companies to disclose | No |
Hara Levy, MD, MMSc American Family Children’s Hospital | Committee Member | No relevant relationships with ineligible companies to disclose | No |
| Melissa Lupo | Peer reviewer | No relevant relationships with ineligible companies to disclose | No |
Emily Neibauer, MS, RN Children’s Wisconsin | Author | No relevant relationships with ineligible companies to disclose | No |
Peggy Nied, OT | Peer reviewer | No relevant relationships with ineligible companies to disclose | No |
Yolanda Rivera, MSN, RN, PCCN Ann & Robert H. Lurie Children's Hospital of Chicago | Author | No relevant relationships with ineligible companies to disclose | No |
| Tyler Robinson | Peer reviewer | No relevant relationships with ineligible companies to disclose | No |
Allison Rosen, MS, OTR/L, C/NDT Ann & Robert H. Lurie Children's Hospital of Chicago | Author | No relevant relationships with ineligible companies to disclose | No |
Carrie Sardina, MS, OTR/L Children’s Wisconsin | Author | No relevant relationships with ineligible companies to disclose | No |
Julie Slattery, MS, FNP-C UW Health Care Direct | Committee Member | No relevant relationships with ineligible companies to disclose | No |
Kara Winkler, MSN, RN, CPN Ann & Robert H. Lurie Children’s Hospital of Chicago | Author | No relevant relationships with ineligible companies to disclose | No |
Jessica Whittington, MSN, APRN, CPNP-AC Ann & Robert H. Lurie Children’s Hospital of Chicago | Author | No relevant relationships with ineligible companies to disclose | No |
Brittany Wright, MSN, RN, MBA, CPHON Ann & Robert H. Lurie Children’s Hospital of Chicago | Author | No relevant relationships with ineligible companies to disclose | No |
Accreditation Statement
![]() | In support of improving patient care, this activity has been planned and implemented by the University of Wisconsin–Madison ICEP and the University of Illinois Chicago’s Division of Specialized Care for Children. The University of Wisconsin–Madison ICEP is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team. |
Credit Designation Statements
American Nurses Credentialing Center (ANCC)
The University of Wisconsin–Madison ICEP designates this enduring material for a maximum of 1.50 ANCC contact hours.
American Medical Association (AMA)
The University of Wisconsin–Madison ICEP designates this enduring material for a maximum of 1.50 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Continuing Education Units
The University of Wisconsin–Madison, as a member of the University Continuing Education Association (UCEA), authorizes this program for .150 continuing education units (CEUs) or 1.50 hours.
Available Credit
- 1.50 AMA PRA Category 1 Credit™
- 1.50 ANCC Contact Hours
- 1.50 University of Wisconsin–Madison Continuing Education Hours
- 1.50 Approved for AMA PRA Category 1 Credit™
Registration for this activity can only be completed through the ICEP Learning Portal. Attendee registrations made through any other sites cannot be honored. UW-Madison ICEP is not able to refund fees paid through unaffiliated registration sites, such as eMedEvents.com, MedConfWorld.com, EventEgg.com, and 10times.com. Please report any unauthorized websites or solicitations for registrations to [email protected].
Accessibility
If you need anything to participate in this program, please contact [email protected].
Required Hardware/software
Free, current version of Chrome (preferred), Firefox, Safari, or Edge. Some older browsers and Microsoft Internet Explorer could produce error messages or not display the content correctly.
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