People doing short hemo at home need to monitor things for the same reasons they monitor you in a dialysis centre (well, at least in good ones). Logging things is merely a way of ensuring that things are in fact being monitored, that’s all. It’s also a useful record at times when you have your monthly clinic appointment and you might need to have something in your dialysis prescription changed.
With nocturnal hemo, you don’t do the logging, except just after starting the treatment. Having to log during the treatment would go against the idea of sleeping. But, it’s not needed as much anyway, because everything runs slow enough that treatments are very stable.
Some people may get away without logging, but they are probably still keeping an eye on things every once in a while. They just aren’t logging it. It would be pretty foolhardy not to check things periodically by glancing at the display and the air chambers. I mean, these machines aren’t toys. Your life depends on them.
In my program, a person not doing these things would certainly risk being removed from the home hemodialysis program as a non-compliant patient. A few have.
Pierre