The Kidney Disease Center of FAHZU is a premier kidney disease treatment and research facility in China. It holds the title of National Clinical Key Specialty and was ranked fourth in the country by the 2023 STEM "China's Hospital Science and Technology Measurement Value". By means of integrated replacement therapy for end-stage renal disease and Consolidated management of chronic kidney disease. Our facility has an internationally advanced 20-year survival rate for patients with end-stage renal disease. In order to train nursing professionals worldwide on the continuum of care services from early diagnosis to the end stage of the disease, we have created the International Exchange Training Program on Integrated Care and Management of Chronic Kidney Disease by combining the center's professional strengths.

From early diagnosis and treatment to end-stage renal disease, the program offers thorough training on the care and management of chronic kidney disease (CKD). This includes the use of appropriate Chinese medicine techniques, hemodialysis, peritoneal dialysis, renal transplantation, and other pertinent treatment modalities. Important topics covered in the training include cardiovascular risk reduction, nutritional assistance, dialysis access management, complication prevention and treatment, renal replacement therapy care, and patient education. In addition to improving their abilities in the comprehensive treatment of patients undergoing peridialysis, participants will acquire a thorough understanding of the integrated management of chronic kidney disease. The program prioritizes the creation of individualized treatment plans, early intervention techniques, and nutritional management while adhering to the most recent worldwide norms, aiming to enhance participants' clinical practice skills through precise training.

· Practice-oriented: Combine clinical practice with instruction in practical skills.
· International standards: adhere to the consensus and recommendations of Chinese renal disease experts as well as international standards and guidelines like KDOQI and KDIGO.
· Personalized care: The creation of care plans tailored to each patient's unique circumstances is emphasized.
· Application of Artificial Intelligence: Showcase how artificial intelligence technology can be used to train and monitor dialysis patients with end-stage renal illness.
· Multidisciplinary cooperation: To provide integrated and thorough patient care and management, highlight the cooperation between medical teams and pre-renal, hemodialysis, peritoneal dialysis, and transplantation care teams.

1. To cultivate global experts capable of providing comprehensive treatment and management for chronic kidney disease.
2. To slow the advancement of renal function and improve participants' specialized nursing abilities in renal puncture.
3. To improve peritoneal dialysis patients' case management and remote monitoring abilities.
4. Develop professional abilities in vascular access management and hemodialysis technology innovation.
5. To enhance postoperative comprehensive health management and kidney transplantation nursing practice.
6. To encourage interdisciplinary cooperation and improve integrated chronic renal disease treatment innovation and practice.

The program offers 4 weeks to 3 months of full-time training. In exceptional cases, the amount of time spent practicing in a particular field can be adjusted to suit your needs and interests.

Nurse:

· Hold a valid nursing license.

· At least 3 years of nursing experience in the field of nephrology.

· Interested in deepening professional knowledge and skills in the care and management of chronic kidney disease.

Focus Areas

1. Care and management of chronic kidney disease (CKD): emphasizes early detection, treatment, and symptomatic management of CKD.

2.  Techniques for renal puncture, such as preoperative planning, intraoperative monitoring, and postoperative management.

3.  Care for delayed renal progression: employs nurse interventions to postpone the decline in renal function.

4. Care for nephrotic syndrome: nursing practice tailored to certain nephrotic populations.

5. Nutritional management abilities: determining the nutritional state of patients and offering dietary recommendations.

6. Critical Care Renal Disease Nursing: to give patients with critical care renal disease specialized nursing care.

7. Peritoneal dialysis treatment nursing: this includes long-term follow-up management, peritoneal dialysis treatment operation and patient training, and peritoneal dialysis implantation and peridialysis care.

8. Nursing care for hemodialysis patients: including post-dialysis care, vascular access management, hemodialysis process management, and hemodialysis center management.

9.  Post-renal transplantation nursing: including rehabilitation nursing, rejection identification, and post-operative surveillance.

10. Use of relevant Chinese medicine techniques: to control the symptoms of renal disease by applying appropriate Chinese medicine procedures.

Skills

1. Renal puncture operation skills: the ability to independently carry out nursing procedures both before and after a renal puncture.

2. Skills for monitoring renal function: track indicators of renal function and evaluate the course of the disease.

3. Nutritional evaluation and dietary counseling: carry out nutritional evaluations and give patients individualized dietary counseling.

4. Critical care monitoring abilities: keep an eye on vital signs and manage crises in patients with severe renal illness.

5. Peritoneal dialysis operation skills: competently carry out automated peritoneal dialysis operation, outlet maintenance, remote monitoring management, and peritoneal dialysis fluid exchange technology.

6. Hemodialysis vascular access procedures, such as puncturing arteriovenous fistulas, maintaining catheters, and vascular access assessment.

7. Dialysis machine operation and monitoring: become proficient in the hemodialysis machine's operation and monitoring protocols.

8. Kidney transplant post-operative nursing: provide wound care after surgery, keep an eye on immunosuppressive medication side effects, etc.

9. Use Traditional Chinese Medicine (TCM) procedures: To relieve symptoms, use TCM techniques such acupoints, cupping, acupoint pressure, etc.

10. Patient self-management education: teach patients how to take care of themselves while receiving dialysis and taking medications.

Week 1 (nephrology ward study): Care of pre-existing kidney disease symptoms and renal puncture, delayed renal progression care and integrated nephrology management

· Introduction and welcome, program overview and objectives, introduction to the Integrated Kidney Disease Care Center

· Renal puncture pre- and post-operative nursing process

· Integrated Nursing Strategies for Delaying the Progression of Renal Function

· Standardized Nursing Care for Nephrotic Syndrome

· Nutritional assessment and management of patients with renal disease

· Nursing Management Points for Critical Care Nephropathy Patients

· Application of Chinese Medicine Appropriate Technology in the Management of Renal Disease Symptoms

· The Concept and Practice of Integrated Replacement Therapy

· Development and implementation of individualized dialysis treatment plan

· Summary and feedback

Week 2 (Peritoneal Dialysis Ward and Follow-up Clinic Study): Peritoneal Dialysis Nursing, Patient Training and Follow-up Management

· Advances in peritoneal dialysis technology and innovative applications

· Digital Case Management Strategies for Peritoneal Dialysis Patients

· Remote Monitoring and Follow-up Management Practices for Peritoneal Dialysis Patients

· Peritoneal Dialysis Peritonitis Prevention Guidelines and Clinical Practice

· Peritoneal Dialysis Fluid Balance Management Strategies

· Prevention and Management of Complications in Long-Term Peritoneal Dialysis Patients

· Peritoneal dialysis patient education and self-management ability improvement methods

· Management System and Continuous Improvement of Peritoneal Dialysis Centers

· Summary and Feedback

Week 3 (Blood Purification Center Study): Hemodialysis Nursing Care

· Advancement of hemodialysis nursing techniques

· Clinical application of multi-mode hemodialysis technology

· Vascular access whole life cycle management

· Precise volume management of hemodialysis patients

· Application of Chinese medicine technology in dialysis

· Personalized assessment and patient education for hemodialysis patients

· Optimization of hemodialysis management system

· Quality management system in advanced hemodialysis centers

· International standards and best practices in infection control

· Efficient staff management and teamwork

· Summary and feedback

Week 4 (Renal Transplant Ward and Follow-up Clinic Study): Renal Transplant Nursing

- Kidney transplant nursing and accelerated rehabilitation

- Comprehensive postoperative health management

- Pre-transplantation preparation and patient education

- Multidisciplinary collaboration and continuous innovation

- Summary and feedback

The program provides comprehensive assessment of learners through various methods, including theory assessment, skills operation assessment, case study and group discussion, aiming to comprehensively examine their mastery of theoretical knowledge, practical skills, clinical decision-making ability, as well as teamwork and communication skills in chronic kidney disease nursing. Feedback from learners is collected through regular satisfaction surveys and feedback meetings in order to continuously optimize the training content and teaching methods to ensure the effectiveness and usefulness of the training program.

This program is free of charge.