Ontario Renal Network | Reseau Renal de L'Ontario

Peritoneal Dialysis (PD) Manual


This manual will help guide you through peritoneal dialysis (PD). It is not meant to replace training materials you may already have received, but rather to supplement them as required by your clinic. Seek more information or clarification from your healthcare team, as needed.

You have decided with your healthcare team to begin PD, a kind of dialysis that can keep you in control and which you can do conveniently in the comfort of your own home and elsewhere. Your team is there to help you succeed. This manual will help you learn about PD and you can refer back to it at any time.

What PD training will teach you

Peritoneal dialysis is your dialysis treatment of choice. Your healthcare team will help you learn to do PD independently so you can do it at home safely and confidently. At the end of your PD training, you will be able to:

  • Understand PD, how it works and the type of PD you will be using
  • Set up your dialysis area
  • Adhere to proper hand hygiene
  • Take your blood pressure, pulse, temperature and weight accurately
  • Understand how to choose your dialysis solutions
  • Be able to complete your treatment (or 'exchange') independently
  • Keep a treatment record
  • Store and order your supplies
  • Care for your catheter and your exit site (where the catheter comes out of your body)
  • Know how to recognize, handle and report any problems
  • Understand how to follow your diet and fluid limits
PD Manual was created by Ontario Renal Network in collaboration with Dialysis Training Programs in Ontario and was made possible through the efforts and commitments of:
  • The Independent Dialysis Education Advisory (IDEA) Panel - Alison Thomas (St. Michael’s Hospital); Angela Vinet (London Health Science Centre); Debra Appleton (University Health Network); Diane Watson (University Health Network); Francoise David (Timmins And District Hospital); Emily Harrison (Lakeridge Health); Glen Chenard (Saint Elizabeth Health Care); Johanna Drost (The Ottawa Hospital); Monique Benard (The Ottawa Hospital); Rita Baker (London Health Sciences Centre); Dr. Andreas Pierratos, Kristee Regozo and Gokulan Kandasamy (Ontario Renal Network);
  • The Dietician Working Group: Christine Nash (University Health Network); Shannon Chesterfield (Hôtel-Dieu Grace Hospital ); Melissa Atcheson (Kingston General Hospital); June Martin (Grand River Regional Hospital);
  • Medical Advisers for peritoneal dialysis: Dr. Andreas Pierratos (Ontario Renal Network); Dr. Joanne Bargman University Health Network); Dr. William McCready (Thunder Bay Regional Health Sciences Centre);
  • Home Dialysis Programs throughout Ontario.
Continue to Training for Peritoneal Dialysis