Total Dissolved Solids — connecting water quality to unexplained hypertension. "Trust the trend, not just the number."
The silent threat to red blood cells. 0.0 is the ONLY acceptable number. Hemolysis risk at > 0.1 mg/L.
The most dangerous contaminant — silent until it kills. Two patients with chills = DISCONNECT ALL.
Coming soon — monitoring calcium and magnesium levels to prevent RO scaling.
14 mmol/L K⁺ instead of 2 mmol/L — conductivity said "PASS" while delivering lethal potassium.
Water-only dialysis → hemolysis → hyperkalemia → dialyzer rupture. One empty can, seven failures.
500 mL → 5,000 mL — one zero, one life. Hypovolemic shock, organ failure, death.
Patient doesn't report diarrhea → dialysis removes more potassium → cardiac arrest.
Mass casualty — every patient affected simultaneously. Two patients with chills = DISCONNECT ALL.
Animated vertical flow from city water to dialysis machines — with detailed specs and test points.
32 printable stickers for every piece of equipment — PASS/FAIL criteria, action levels, MOH test points.
Single-page summary — all critical values, emergency protocol, nurse's checklist. Print and laminate.
Excel-compatible log sheet for every shift — MOH compliant, vertical headers, landscape orientation.
The last line of defense — vigilance, critical thinking, rapid action. Mental preparation for the inevitable.
Physical preparation — tools ready, unit clean, obstacles removed. The 6 pillars of unit preparedness.