We would rather
you interrogated
our protocol than
took our word.
Home and mobile clinical care carries a real safety burden. Lending your registration to it is a professional decision, not an administrative one. This page sets out how that burden is carried.
Inspect anything, at any time
Panel consultants may inspect the water testing log, machine service history, technician certification file and incident register at any time, on request — before empanelment or at any point afterwards.
A programme that cannot survive that request should not be running dialysis in a patient's bedroom.
When we stop
and call you
Our staff do not exercise clinical judgement. They follow a fixed trigger list. Any of the following stops the session and initiates the escalation ladder — treating consultant, then emergency services, then transfer.
The list is deliberately conservative. We would rather call you about a session that could have continued than not call you about one that should have stopped.
- Symptomatic intradialytic hypotension unresponsive to first-line measures
- Chest pain, dyspnoea, arrhythmia or altered sensorium
- Access bleeding, infiltration, or loss of access during a session
- Suspected haemolysis, air embolism or clotting of the circuit
- Febrile reaction or suspected pyrogenic event
- Machine alarm state that cannot be resolved to protocol
- Any bleeding or transfusion requirement identified during a session
- Deviation of achieved ultrafiltration beyond prescribed tolerance
Two separate covers.
Neither substitutes
for the other.
This is the second question every serious consultant asks, so we answer it in full.
Doctors' Professional Indemnity
Covers you as an individual registered medical practitioner for civil liability arising from error or omission in rendering professional services, including legal defence costs within the limit of indemnity.
Medical Establishment Professional Indemnity
Covers the legal liability falling on the establishment as a result of error or omission by its own staff — technicians, nurses and coordinators. This is our exposure and we do not transfer it to the panel.
Two extensions worth confirming with your own insurer
Many Indian professional indemnity policies are written around a named hospital or clinic setting, and a number predate telemedicine. Before you begin, ask your insurer to confirm in writing that your policy covers teleconsultation and care delivered at a patient's residence. A consultant can hold a perfectly valid policy and still be uncovered for exactly this work. We would rather you checked than assumed.
Note that professional indemnity policies cover civil liability only. Criminal acts and violations of law are excluded under all such policies.
Records belong to the patient
and the treating consultant
Session records, trend sheets and incident reports are shared with the treating consultant and the patient. Diagnex retains them for the statutory period. Nothing is used in marketing, publication or product development without written consent from both.
Personal data is processed under the Digital Personal Data Protection Act, 2023, with stated purpose and a withdrawal route.
Registrations
Come and look
before you decide.
Inspect the machines, the water treatment, the records and the incident register. Speak to the technicians. Nothing is signed before you have seen how this actually runs.