Dialysis services for inpatient facilities.

Intermittent hemodialysis for hospitalized patients with acute kidney injury, fluid overload, electrolyte emergencies or toxic ingestions, performed at the bedside on the nephrologist’s orders.

Our dialysis RN brings the machine and portable water treatment to the patient, runs pre-treatment safety checks, delivers the treatment and monitors the patient throughout, working alongside your bedside nurse.

When a patient on maintenance dialysis is admitted for any reason, their treatments can’t wait. We keep them on schedule while they’re in your facility.

We work with your case managers and the patient’s nephrologist so treatments fit the plan of care, including therapy schedules in long-term acute care hospitals and rehab facilities, and support a smooth return to the patient’s outpatient dialysis center.

Continuous renal replacement therapy (CRRT) is slow, around-the-clock dialysis for critically ill patients who are too unstable for intermittent hemodialysis, such as patients in shock, with severe fluid overload or with multi-organ failure.

We work alongside your ICU physicians and nurses to start and support CRRT safely, on the orders of the nephrologist or intensivist, and keep the therapy running smoothly through the patient’s critical phase.

Therapeutic plasma exchange (TPE), also called plasmapheresis, removes a patient’s plasma and replaces it with a fluid such as albumin or donor plasma. It’s used for a range of neurologic, hematologic and renal conditions, always on a physician’s order.

Our team performs TPE at the bedside, with assessment before, during and after each procedure and clear communication with the ordering physician and your nursing staff.

Patients who do peritoneal dialysis (PD) at home still need their therapy when they’re admitted. We provide inpatient PD so their treatment continues without interruption, whatever brought them to the hospital.

Depending on the nephrologist’s orders, that means manual exchanges or cycler therapy, careful catheter and exit-site care, and support for your nursing staff, with a smooth hand-back to the patient’s home program at discharge.

Patients on contact, droplet or airborne precautions, including COVID-positive patients, still need dialysis. Our nurses follow your facility’s isolation protocols and CDC guidance, with appropriate PPE and dedicated equipment where required.

Water quality is a patient-safety issue in dialysis, because every treatment exposes the patient’s blood to a large volume of dialysate. Texas Acute Dialysis Services (TADS) pairs clinical care with biomedical expertise and water system management, so the water and equipment behind every treatment have one accountable partner.

Treatment water is produced by reverse-osmosis (RO) systems with carbon filtration, checked for total chlorine before each treatment and tested to AAMI standards (ANSI/AAMI/ISO 23500 series). Dialysis machines and RO units are maintained on a preventive schedule that follows manufacturer instructions, and machines are disinfected between patients.

We use hemodialysis machines and reverse-osmosis systems designed for acute and inpatient dialysis, serviced and documented to manufacturer guidance.

TADS provides ongoing support to maintain regulatory readiness, including documentation review, equipment compliance, water quality oversight, and preparation for CMS/AAMI-related reviews.

Water testing logs, equipment maintenance records, RN competency files and treatment records are kept current and available to you for CMS, Joint Commission and Texas HHSC surveys, and for your QAPI program.

Dialysis patients face a higher risk of bloodstream and hepatitis infections. Our practices are built on CDC recommendations for infection prevention in hemodialysis, and we follow your facility’s infection prevention program.

Every treatment is fully documented: orders, assessments, vital signs, fluid removal, medications given per orders, and any events. That record goes into the patient’s chart however your facility prefers.