BIX-L64 Guide: Peritoneal Dialysis Skills Training with a PD Training Model
Product Description
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Model |
BIX-L64 — Peritoneum Dialysis (PD) Training Model |
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Summary |
Peritoneal dialysis training model for PD bag exchange, catheter care, and exit-site practice with realistic anatomy. For nephrology and dialysis programs. (154 chars) |
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Training Scope |
Peritoneal dialysis: aseptic exchange, catheter and exit-site care |
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Core Skills |
Bag exchange, drain-fill cycles, exit-site care, peritonitis prevention |
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Application |
Nephrology training, dialysis nursing, renal patient education |
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Price |
On request |
1. Why Peritoneal Dialysis Skills Training Matters
Chronic kidney disease (CKD) is a growing global burden, with the number of patients progressing to end-stage renal disease (ESRD) rising in nearly every region (GBD Chronic Kidney Disease Collaboration, 2020). Peritoneal dialysis (PD) is a key renal replacement modality — particularly valuable where hemodialysis infrastructure is limited — and global PD use has grown steadily (Jain et al., 2012).
The clinical bottleneck is training. PD is performed by patients or caregivers at home, and its success depends on flawless aseptic technique:
Peritonitis is the dominant complication.
1. Peritonitis is the leading cause of PD technique failure, hospitalization, and catheter loss — and international guidelines make patient/caregiver training a core prevention pillar (Li et al., 2016; Piraino et al., 2011).
Skill, not knowledge, prevents infection.
2. The connect-disconnect sequence, drain-fill timing, and exit-site care are psychomotor skills. Standardized procedural training — the same logic that made checklist-based care reduce complications in surgery (Haynes et al., 2009) — requires repeated hands-on practice before a patient ever touches a PD system.
The BIX-L64 answers this: a dedicated PD training model with realistic anatomy that lets trainees and patients practice the full exchange cycle, catheter care, and exit-site care before performing them on a living patient.
2. Training Modules
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Module |
Skill Set |
Why It Matters |
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Aseptic exchange |
Connect/disconnect, drain-fill cycles, solution change |
The core PD procedure; technique errors drive peritonitis (Li et al., 2016) |
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Catheter care |
Catheter handling, cap changes, immobilization |
Catheter-related infections are a leading peritonitis cause (Piraino et al., 2011) |
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Exit-site care |
Inspection, cleaning, dressing changes |
Exit-site infection precedes many peritonitis episodes |
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Troubleshooting |
Poor drain, leakage, air in line |
Common home-PD problems requiring practiced response |
3. Skill Station Protocols
Station A: Aseptic Bag Exchange — 25 min
Objective: Perform a complete PD exchange cycle with correct aseptic technique.
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Phase |
Time |
Trainee Action |
Instructor Checkpoint |
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Preparation |
5 min |
Hand hygiene, mask, workspace prep |
Full aseptic preparation |
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Connection |
5 min |
Connect transfer set without contamination |
No touch contamination |
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Drain phase |
5 min |
Drain effluent; observe flow and color |
Correct timing and observation |
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Fill phase |
5 min |
Fill with fresh solution; disconnect |
Correct sequence |
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Documentation |
5 min |
Record effluent volume and appearance |
Complete charting |
Station B: Exit-Site Care — 15 min
Objective: Inspect and care for the catheter exit site.
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Step |
Trainee Action |
Pass Criteria |
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1 |
Inspect exit site (redness, discharge, crusting) |
Systematic inspection |
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2 |
Clean with prescribed solution, outward motion |
Correct technique, no backtracking |
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3 |
Apply dressing and secure catheter |
Proper immobilization |
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4 |
Document findings |
Correct charting |
Station C: Peritonitis Prevention Scenario — 20 min
Objective: Identify and correct contamination risks in a home-PD scenario.
1. Recognize a contamination event (e.g., touched spike, opened system).
2. State the correct response (stop, discard, report).
3. Demonstrate the corrected aseptic sequence.
4. Discuss peritonitis warning signs (cloudy effluent, pain, fever).
Evidence anchor: early recognition and treatment of peritonitis preserves the PD modality — training that drills recognition is directly linked to better outcomes (Li et al., 2016).
Station D: Full Competency Check — 25 min
Objective: Complete the full exchange under observation, unassisted.
1. Full preparation and aseptic exchange (per Station A).
2. Exit-site assessment and dressing.
3. Verbalized troubleshooting for one common problem.
4. Final debrief against the competency checklist.
4. Assessment Design
Competency Checklist (Pass/Fail)
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Skill |
Must-Do |
Common Error |
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Hand hygiene + prep |
Complete before touching system |
Skipping mask/gloves |
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Connection |
No touch contamination |
Touching spike or port |
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Exchange sequence |
Drain → observe → fill → document |
Reversed or skipped phase |
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Exit-site care |
Outward motion, no backtracking |
Re-contamination of site |
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Contamination response |
Stop, discard, report |
Continuing the procedure |
Suggested Course Blocks
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Course |
Duration |
Stations |
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PD basics for nursing students |
2 h |
A + B |
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Home-PD patient education |
2–3 h |
A + B + C |
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PD competency program |
1 day |
A + B + C + D + assessment |
5. Maintenance & Consumables
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Interval |
Action |
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After each session |
Clean model surfaces and catheter per supplier instructions |
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Monthly |
Inspect catheter and tubing integrity |
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Quarterly |
Full inspection; replace consumable tubing/solution sets |
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Annually |
Deep clean; order replacement parts |
For replacement parts and consumable kits: adacpr@adaanatomy.com.
6. FAQ
Q1: What does the BIX-L64 train? A: Peritoneal dialysis skills: aseptic bag exchange (drain-fill cycles), catheter care, and exit-site care on a realistic PD model — the skills patients and nurses need before touching a real PD system.
Q2: Who is the model for? A: Nephrology training centers, dialysis nursing programs, and renal patient-education units preparing patients and caregivers for home PD.
Q3: Why is hands-on practice so important for PD? A: Because peritonitis — the leading cause of PD technique failure — is largely preventable with correct aseptic technique, and technique is a psychomotor skill built through repeated practice, not lectures. International guidelines place training at the center of infection prevention (Li et al., 2016; Piraino et al., 2011).
Q4: Can it be used for patient education? A: Yes — home-PD patients and caregivers benefit from practicing the exchange cycle and exit-site care on the model before their first real procedure, reducing anxiety and error risk.
Q5: What are the main consumables? A: Tubing/solution sets and cleaning consumables for the model itself. Usage-based replacement keeps costs predictable; request the price list and replacement schedule from your supplier.
Q6: What is the MOQ and delivery timeline? A: MOQ is 1 unit. Air freight: 7–10 business days. Institutional orders of 3+ units qualify for consolidated sea freight (30–45 days). Email adateaching@adaanatomy.com for a formal quotation to your destination.
References
Global, Regional, and National Burden of Chronic Kidney Disease, 1990–2017 — GBD Chronic Kidney Disease Collaboration (2020), Lancet 395(10225):709–733
Global Trends in Rates of Peritoneal Dialysis — Jain et al. (2012), J Am Soc Nephrol 23(3):533–544
ISPD Peritonitis Recommendations: 2016 Update on Prevention and Treatment — Li et al. (2016), Perit Dial Int 36(5):481–508
ISPD Position Statement on Reducing the Risks of Peritoneal Dialysis-Related Infections — Piraino et al. (2011), Perit Dial Int 31(6):614–630
A Surgical Safety Checklist to Reduce Morbidity and Mortality in a Global Population — Haynes et al. (2009), N Engl J Med 360(5):491–499