Ambulatory patient refers to the Vice-Chancellor in Treatment Affairs with a written order from a specialist doctor (internal medicine or nephrology) and the necessary tests, especially the hepatitis B virus marker. If there is an empty bed, the Vice- Chancellor in Treatment Affairs will introduce the patient to the nearest dialysis unit, considering the distance between the patient’s home and the dialysis unit and give the patient a referral letter. The patient goes to the dialysis department with a referral letter, doctor’s letter and tests. A nephrologist or an internist in the dialysis department visits the patient and records the patient’s history, medical records and medications in the file, then prescribes dialysis. The specialist of the dialysis department requests the desired tests if necessary, and thus the patient’s dialysis starts in the department. It should be noted that patients who are positive for hepatitis B should undergo dialysis in centers that have dedicated isolated beds for these patients. The patient is explained about the department, how to perform dialysis and visiting days then the patient’s dialysis process begins.
