Only ask if the resident is on dialysis:  

• What type of dialysis do you receive (hemodialysis or peritoneal dialysis)? 

For peritoneal or hemodialysis (HHD): 

• Where and how often do you receive dialysis? 

• Who administers the dialysis in the facility (e.g., family or staff)? 

• Where is your access site located? 

• How often is your access site monitored by facility staff? 

• Have you had any problems with infections? 

• For a resident receiving HHD: Have you had any problems with bleeding at the access site?  

• For a resident receiving HHD: Which arm do staff use for taking your B/P?  

• Have you had any problems before, during or after dialysis? If so, can you describe what occurred and how staff responded? 

• How often and when are you weighed and your vital signs taken? 

• Any issue with your meals and medications on days you receive hemodialysis? 

• Are you on a fluid restriction or dietary restrictions?  

• How are you doing with that? 

• Do you think there is good communication between the dialysis center and the facility?  

For offsite hemodialysis:  

• What are the transport arrangements? 

• Have you had any concerns going from dialysis and back to the facility?