The Nephrology Department at Christchurch Hospital provides regional nephrology services for people in Canterbury, South Canterbury, and Westland, comprising general nephrology, acute dialysis and chronic dialysis (CAPD and home haemodialysis). The department also provides Renal Transplant Services for people not only in Canterbury and Westland but also Otago and Southland.
The staff consist of five consultant nephrologists, two registrars, a house officer, a dialysis nurse manager, dialysis nurses, dialysis technicians, two secretaries, and a computer systems manager. We also have two renal transplant co-ordinators, a predialysis educator, a research/clinic nurse, a psychologist, a clinical nurse educator, a vascular access nurse, and an administrative officer.
Dr David McGregor
Dr Penny Hill
Dr John Irvine
Dr Nick Cross
Dr Suetonia Palmer
Ms Wendy Cuthill
Ms Kimberley Reimers
The registrar posts are suitable for advanced training in nephrology under the auspices of the Royal Australasian College of Physicians. See our careers website at www.cdhbcareers.co.nz
The Dialysis Service provides both haemodialysis and CAPD. Haemodialysis is carried out in either the Acute Dialysis Unit or the Home Dialysis Training Centre, each of which has 5 stations. Which unit visitors dialyse in is dependent upon department workload.
Operational hours are between 08:00 to 15:30 hours Monday to Friday.
All dialysis must be completed within these times unless special arrangements are made. Meals are not provided during dialysis.
A minimum of 2 months notice is required to book visitor dialysis unless special arrangements have been made with the Manager, Dialysis Services.
All visiting dialysis patients must have documentary evidence of negative status for hepatitis B, hepatitis C, HIV and multisite MRSA.
MRSA swabs must be taken from the nares, groins, perineum and any open wounds or areas of dermatitis. A 2 day salt swab enrichment broth to enhance the recovery of MRSA must be included.
These tests must be completed within one month of the proposed dialysis in Christchurch. All patients will be rescreened at the time of their first dialysis.
A full clinical and dialysis summary is required prior to confirmation of the booking.
Unless a reciprocal health care arrangement exists between New Zealand and the country of origin of visiting patients the charge per dialysis is $NZ650 inclusive of Goods and Services Tax (GST).
Further enquiries and booking should be directed to the Nurse Manager, Dialysis Services.
The Department of Nephrology has an active clinical research programme and has close links with basic and clinical researchers in Canterbury District Health Board and the Christchurch School of Medicine.
Current areas of research activity:
Red blood cells have complex chemical substances on their surface. These substances are different for each blood group. The blood group system, which is important in transplantation, is known as the ABO system. Within the ABO system people can be one of four types – O, A, B, AB.
Structures usually proteins, which can be detected by the immune system. If the body is exposed to foreign antigens, for example from a blood transfusion or a pregnancy, it can start an immune (fighting) response and form antibodies.
This term is used for donors who intend to donate a kidney to someone that they do not know.
Antibodies are proteins present in the blood that detect a foreign antigen. If the foreign antigen is detected at a later time the body is ready to destroy it.
This is done in the laboratory. The serum (the clear liquid in blood) of the potential recipient is mixed with white blood cells of a potential donor. If there are antibodies in the serum that damage the cells then this potential donor would be unsuitable for this recipient.
Computer tomography enables images of the inside of your body to be obtained harmlessly and painlessly. The specially designed system has a rotating xray source, moving around the body, emitting a narrow xray beam.
An ECG is a recording of heart electrical activity. Electrodes, pads with wires linking them to a recorder, are put on the chest, arms and legs. These electrodes pick up the electrical signal from the heart, transfer it to the recorder and a graph is printed out. It is a painless test.
Human Leukocyte Antigens are found on the surface of white blood cells. They are there to help the body regulate its immune response and are important for the body to survive. They also indicate whether a transplanted kidney is likely to be tolerated or rejected. A half set of HLA antigens is inherited from the mother and a half set from the father.
A scan that is performed in the Radiology Department. Ultrasound is high frequency sound that is beyond the range of human hearing. A probe is moved over the skin, sending and receiving ultrasound signals, which are changed into images of the kidneys and bladder. This is a painless procedure.
Page last updated: 24 January 2019
Is this page useful?