Cruise Dialysis

Dialysis Unit Information Form

Dialysis Unit Information Form
Does this patient use a wheelchair or mobility scooter?
Does this patient use a walking device? ie rollator, walking stick etc
The dialysis unit onboard Ambience is NOT wheelchair accessible and can be a distance of 6 metres to walk to the furthest bed. Can this patient walk to the bed WITHOUT assistance?
If you have answered NO to the above question, please advise if the patient is travelling with someone who will assist them to the bed, and on and off the bed if required in the dialysis unit?
Patient's MRSA status
Patient's Hepatitis B status
Patient's Hepatitis C status
Patient's HIV status
Is this patient currently in treatment for VRE?
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