Singapore legislation
Regulation 24
of Healthcare Services (Community Hospital Service) Regulations 2023
Regulation 24
Patients must be monitored when undergoing haemodialysis
Subregulation 1
A licensee must ensure that every patient undergoing haemodialysis at any approved permanent premises is monitored by a nursing personnel or a medical practitioner so that the patient can receive the appropriate and timely medical care in the event the patient’s condition deteriorates.
Subregulation 2
Without limiting paragraph (1), a licensee must —
implement protocols for the recognition of any deterioration in a patient’s condition, provision of medical care and escalation for further medical care;
ensure that every medical practitioner, registered nurse and enrolled nurse employed or engaged by the licensee for the provision of the renal dialysis service is familiar with the signs and symptoms of patient deterioration and is able to identify these signs and symptoms;
ensure that any deterioration in a patient’s condition is brought to the attention of the appropriate personnel in a timely manner; and
ensure that all dialysis machines are equipped with the appropriate equipment or device —
to enable the licensee’s personnel to visually monitor the clinical and dialysis parameters of a patient undergoing haemodialysis; and
that will give an audiovisual alarm if there is any machine fault detected, or if the patient’s clinical or dialysis parameters fall outside of the acceptable range during haemodialysis.