The Department of Renal Medicine is responsible for inpatient and outpatient care of people with renal impairment (acute renal insufficiency and chronic kidney disease).
This includes medical and surgical ward services, pre-dialysis assessment, and renal replacement therapies. The department offers haemodialysis and peritoneal dialysis programs with an evolving emphasis on home-based therapies.
The department also provides a comprehensive kidney transplantation service (live donor and deceased donor). Relevant patient and family/carer education and support services for pre dialysis and transplant patient education sessions are held throughout the year.
Specialised staffing roles include:
The department maintains a close liaison with Psychiatry and allied health, including social work and dietetics.
The pfrogressive chronic kidney disease and pre-dialysis program centres around 3 main components aimed at promoting home based therapies;
Patients are encouraged to be involved in their plan of care and to include their family/ support people in the decision making process regarding conservative care options as well as those chosing dialysis and transplantation.
Ward 4WA is an acute 20 bed unit with 4 haemodialysis rooms that provide a comprehensive suite of medical services to patients across renal, endocrinology and rheumatology specialities.
4WA provides both medical and surgical care for patients with acute and chronic renal disease.
The Peritoneal Dialysis Home Training Unit is located in Ward 7West. The day unit is staffed by Clinical Nurse Specialists, who provide a comprehensive peritoneal dialysis training program and ongoing support for patients and carers.
The Home Haemodialysis Training Unit is co-located in the Alfred Haemodialysis unit in Ward 4ADU. It provides an intensive home dialysis training program and ongoing support for existing patients.
The Alfred Dialysis Unit is an acute incentre haemodialysis unit. It is open from 7:00am to 21:00 Monday to Saturday and Sunday 7:00am to 15:30 and currently also provides acute dialysis support services for CCU, ICU, ED, and 7 West. An oncall service is provided out of hours.
The Caulfield Haemodialysis Unit is a satellite chronic haemodialysis unit open Monday to Saturday from 7am to 8pm. The Caulfield unit also provides support for patients in Caulfield hospital with ESKD requiring dialysis.
The Sandringham Haemodialysis Unit is a satellite chronic haemodialysis unit open Monday to Saturday from 7am to 8pm.
The Renal Transplant Program combines both Deceased donor and Living donor transplant programs. A complete medical, psychological and surgical assessment of both potential recipients and donors is provided on the background of exhaustive Transplant Patient Education Sessions aimed at providing patients and family/carers with information regarding transplantation, along with printed material and other educational resources.
The renal service is further developing a clinical trials program with particular emphasis on pre-ESKD studies.
Outpatient Department Information
The Department offers four multi-disciplinary renal outpatient sessions per week (2 on the Alfred Campus and one at Caulfield and one at Sandringham). There are also private consulting sessions available.