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The current health care environment has changed drastically over the past several years. Demonstrating cost-effectiveness while maintaining positive patient outcomes is the challenge that clinical nephrology practice must directly confront. Nephrology nurses have a responsibility to consider factors related to safety, effectiveness, and cost in planning and delivering patient care (Burrows-Hudson, 1999). Many nephrology nurses are interested in reducing the cost of health care for patients with end stage renal disease (ESRD).
Prior to the 1980s it was almost unheard of in the United States to resterilize and reuse a medical device that was intended and labeled ...