Dialysis

Note: This information supersedes the "Issuing and Rescinding a Boil Water Advisory" portion of the Cryptosporidium and Water Handbook.

During a Boil Water Advisory

Dialysis may continue during a boil water advisory if the water treatment components in use are sufficient to remove or destroy bacteria, such as Reverse Osmosis (RO). RO will also remove Cryptosporidium.

Please visit CDC's for more information.

Patients, families, staff, and visitors should not use or consume:

  • water that has not been disinfected,
  • ice or drinks made with water that has not been disinfected, or
  • raw foods rinsed with water that has not been disinfected.

Discontinue service of food and beverage equipment with water line connections (e.g., post-mix beverage machines, spray misters, auto-fill coffee/tea makers, instant hot water heaters, ice machines, etc.).

Discard ice made prior to the boil water advisory issuance and discontinue making ice. Use commercially-manufactured ice.

All employees with diarrheal illness should be regulated by standard rules of exclusion from work.

Use only disinfected water to treat skin wounds.

Monitor patients closely for signs and symptoms of gastrointestinal illness.

If your water system is treating water chemically beyond normal levels advise dialysis units to:

  • Sample water for chemical analysis to ensure compliance with AAMI standards.
  • Conduct chlorine/chloramine tests to ensure compliance with AAMI standards.
  • Monitor water system gauges once per shift.

When the Boil Water Advisory is Cancelled

  • Make sure equipment with water line connections are re-started, flushed, cleaned, and sanitized according to manufacturers’ instructions. Consult your facilities engineer and/or the manufacturer when re-starting the equipment.
  • Managers of large buildings with water-holding reservoirs should consult their facility engineer and health department about draining the reservoir.
  • Flush pipes and faucets. Run cold water faucets continuously for at least 5 minutes.
  • Flush drinking fountains. Run water continuously for at least 5 minutes.
  • Run water softeners through a regeneration cycle.
  • Drain and refill hot water heaters set below 113°F.
  • Change all point-of-entry and point-of-use water filters, including those associated with equipment that uses water.
  • Resume usual bathing practices and care for patients with breaks in the skin.
Top