Published on February 06, 2019

Innovative Dialysis Treatment Being Recognized at National Conference

Photo of Rose Wahoski, R.N., and Angela Bacchus with the NexStage home dialysis system.

Rose Wahoski, R.N., B.S.N., and Angela Bacchus, M.S.N., N.P., are two members of the team that provides inpatient dialysis to patients at MidMichigan Medical Center – Alpena using the NxStage® home dialysis system.

MidMichigan Medical Center – Alpena’s home dialysis system is being recognized at the 39th Annual Dialysis Conference in March. The Medical Center’s pioneering treatment for those needing dialysis will be presented in the abstract, “Safety and Adequacy of NxStage® Home Dialysis Machine Providing Acute Dialysis in Rural Hospital,” during the Poster Forum of the conference.

“We are grateful to the team who worked on bringing this much needed service to our Medical Center, and it’s an honor to be recognized at this national conference,” said Chuck Sherwin, president, MidMichigan Medical Center – Alpena. “The treatment has certainly changed from what we’ve offered in the past. It provides our patients with a safe and convenient program of hemodialysis. For our patients, it allows them to remain local rather than being transferred to another facility.”

In Jan. 2017, MidMichigan Medical Center – Alpena began offering inpatient dialysis through the use of the NxStage® home dialysis system, a simplified system designed to complete at-home hemodialysis. Previously, dialysis was provided by conventional hemodialysis machines and staffed by dialysis nurses.

A team of nephrologists, nurses and Medical Center leaders, including Nephrologists Jukaku Tayeb, M.D., and Quresh Khairullah, M.D.; and Angela Bacchus, M.S.N., N.P., and Rose Wahoski, R.N., B.S.N., were instrumental in making this innovative treatment method available to patients.

During hemodialysis, a patient’s blood is pumped from the body through an artificial kidney. The artificial kidney sends the patient’s blood through thousands of tiny tubes that are bathed in a special fluid called dialysate. The blood is essentially cleaned through this process and returned to the patient’s body.

Due to high training cost and low patient volumes associated with conventional hemodialysis, Dr. Tayeb believed this home dialysis system would be a seamless way to offer inpatient dialysis to patients. “I thought if patients can complete this process at home, the trained staff can provide dialysis with this same technology in the safe environment of the Medical Center,” he said.

“When we initially began the program, the use of a home hemodialysis system in an inpatient setting was not being used anywhere else,” said Dr. Tayeb. “Since we initiated the program, our Registered Nurse Rose has mentored a hospital in Idaho to begin the same program.”