Home haemodialysis in Bangalore, with a nurse as the care partner at every session.

No. We do not provide the dialysis machine, the water treatment unit, the consumables, the technician or the nephrologist, and our nurses do not run haemodialysis on their own. Home haemodialysis in Bangalore is set up by a dialysis provider, either a hospital-run home programme or a standalone dialysis chain. What we provide is the trained care partner that every such programme requires at every session, as a GNM or B.Sc nurse trained on your patient by the provider’s unit. Choose the provider first, then book the nurse.

A dialysis provider assesses the patient and the home, installs a haemodialysis machine and a reverse osmosis water unit, does the plumbing and electrical work, and delivers consumables each month on the nephrologist’s prescription. A technician trains the household and is on call for machine problems. The nephrologist sets the prescription and a written plan. Sessions usually run three to four hours, three times a week, or shorter and more often, or overnight, as prescribed. A trained care partner must be present for every session, which is the role our nurse takes.

They can, and many are, after the provider trains them. The difficulty is the schedule: three or four hours, three times a week, every week, with no missed sessions, on top of a job or a household. A spouse in their seventies often finds the needling and the alarms frightening. Our nurse takes that seat so the family member can be present as family rather than as the person responsible for the machine. Some families split it: the nurse for weekday sessions, a son or daughter for the weekend one.

Takes the pre-session weight, blood pressure and temperature, checks the access, sets up and connects as the unit trained her from its checklist, and then stays beside the patient for the whole session. She takes blood pressure at the intervals the unit set, watches the needles and lines, responds to alarms and to low blood pressure exactly as the written plan says, and calls the technician or unit when the plan says to. After needle-out she holds pressure for ten to fifteen minutes, takes the post-weight, writes the log, cleans up and counts stock.

The provider assesses this, and their list is the one that counts. Typically: a clean room with space for the machine and the water unit, a water connection and a drain, a stable power supply with backup that can run the machine through a cut, a phone line or mobile signal to reach the unit, and dry storage for a month of consumables. Patients whose blood pressure is unstable on dialysis, or whose unit will not write a home plan for them, are usually not accepted. We can tell you what other Bangalore families have set up, but the provider decides.

Yes. Nocturnal home haemodialysis runs longer and slower through the night while the patient sleeps, and the care partner has to stay awake and alert through all of it. This is where a family member usually cannot manage and a nurse can. We book it as a night shift covering set-up in the evening to needle-out in the morning, with the same log and the same written plan from the unit. If your father also needs care through the day, the 24-hour level puts nurses in rotation.

It depends on whether you need the nurse per session, for the whole dialysis day, or around the clock, and on how many sessions a week the nephrologist has prescribed. We do not publish a band because three afternoon sessions a week and nightly nocturnal dialysis are very different amounts of nursing. The assessment is free and ends with a specific quote for your schedule. The dialysis provider’s charges for the machine, consumables and technician are separate and come from them. Our dialysis care cost guide explains what moves the nursing number.