Singapore legislation
Regulation 26
of Healthcare Services (Community Hospital Service) Regulations 2023
Regulation 26
Quality of water and dialysis fluid
Subregulation 1
A licensee who provides haemodialysis must ensure that any water or dialysis fluid used for haemodialysis meets the applicable chemical and microbiological standards, and is safe and appropriate for use.
Subregulation 2
Without limiting paragraph (1), a licensee must ensure that —
the water used for haemodialysis is treated by reverse osmosis;
there are protocols and procedures on the collection and testing of the water and dialysis fluid;
the water and dialysis fluid are regularly tested for chemical and microbiological contaminants;
appropriate methods are used for the collection and testing of the water and dialysis fluid;
the water treatment equipment and haemodialysis water distribution systems are appropriately designed, built, and maintained to prevent treated water from being contaminated or exposed to the risk of being contaminated;
water treatment systems are isolated from the potable water supply;
the water treatment equipment and haemodialysis water distribution system include pressure gauges, flow meters, sample ports, and other ancillary equipment necessary to allow monitoring of the performance and the system as a whole;
there are protocols and procedures for the regular disinfection of all water treatment equipment and haemodialysis water distribution systems; and
records of each disinfection are kept.