A report was received on 20 dec 2022 regarding a 60 year old female patient with a medical history including end stage renal disease, stating she experienced an unspecified blood loss during a home hemodialysis treatment on (b)(6) 2022.The patient was transported to the emergency department and received a blood transfusion.Additional information was received on 21 dec 2022 from the home therapy nurse (htn) who stated the patient felt "woozy" and was hypotensive as a result of the blood loss, symptoms resolved upon receiving the transfusion.Per the htn, the blood loss was from the heparin line which had not been properly clamped.The patient has recovered without sequelae and continues to treat with the nxstage system.
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