DIALYSIS SKILLS CHECKLIST

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Job Description: Staff Nurse - RN - Renal Dialysis Evaluates, plans, implements, and documents nursing care for patients with kidney failure. Initiates and terminates dialysis procedure. Monitors patient and dialysis machine during the dialysis procedure. Requires a minimum of an associate's degree and a license in the state of employment as a registered nurse. Utilizes ones experience and judgment to plan and accomplish goals. Performs a variety of tasks and direct patient care. Reports to a manager or charge nurse of the designated unit.

KEY: For each criteria Score 1: Two plus years Expert Experience Score 2: One-Two Years Current Experience Score 3: Less than one year or Intermittent Experience Score 4: Theory, no experience

CRITERIA	SCORE
	1 2 3 4
RENAL/GENITOURINARY
Assessment of Renal / GU System
Insertion of foley
Care of the Patient With:
Nephrostomy tube
AV Fistula/AV Graft
Tunneled/Non-Tunneled Catheter
Ileal Conduit
Supra-Pubic Catheter
Chronic Renal Failure
Acute Renal Failure
Nephrectomy
Turp
Peritoneal Dialysis
Hemodialysis
HEMODIALYSIS SKILLS/PROCEDURES
Experience
Acute/Inpatient Dialysis
Chronic/Outpatient Dialysis
Dialysis Home Care
Pediatric Dialysis
Predialysis Nursing Assessment
Teaching the Dialysis Patient and Family
Set Up / Initiate Dialysis Treatment
Bicarbonate Dialysate
Conductivity Testing
Priming Dialyzer
Checks for Machine/Alarm Settings
Prep Vascular Access
Fistula Gortex/Bovine Graft
Dialysis
Collect Blood Specimens
Anticoagulation
Assess Patient and Equipment During Dialysis
Systems Assessment of Patient
Volume Status
Vascular Access Function
Arterial and Venous Pressures
Blood Flow Rate
Subjective Response to Treatment
Management of Anticoagulation
Conductivity
Ultrafiltration Calculation
Operation of Myron L. Meter
Administration of Blood and Blood Products
Administration of Mannitol
Sequential Ultrafiltration/PUF
Documentation of Dialysis Treatment
Management of the Patient With:
Fluid Overload
Hypertension
Hypotension
Disequilibrium syndrome
Hyperkalemia
Seizures
Muscle Cramps
Clotted Access/Poor Blood Flow Rate From Catheter
Pyrogenic Reaction
Hemolysis
Air Embolus
Chest Pain
Anemia
Neuropathy
Pericarditis
Filter Blood Leak
Cardiopulmonary Arrest
Machine Alarm Troubleshooting Procedures
Blood Leak Alarm
Arterial Pressure Alarm
Venous Pressure Alarm
Conductivity Alarm
Ultrafiltration Alarm
High Temperature Alarm
Air/Foam Detector Alarm
Power Failure Alarm
Blood Pump Alarm
Discontinue Dialysis
Dialysis Catheter
Fistula / Vein Graft
Return of Blood
Post Treatment Access Care
Equipment Clean Up
Sterilization Procedures
EQUIPMENT
Hemodialysis Systems
B-Braun
Baxter Dialysis Equipment
Meridian
Althin System 1000
Althin Tina
SPS-1550
Fresenius 2008 Dialysis Equipment
System C
System D
System E
System H
System K
Gambro Dialysis Equipment
Cobe Century 3
Phoenix
Peritoneal Dialysis Systems
Baxter
Fresenius

AGE SPECIFIC CARE
Please indicate the frequency with which you provide care for each age group inthis specialty area.	1	2	3	4
Infant (Birth to 1 year)
Toddler (1-3 years)
Pre-school (3-6 years)
School Age (6-12 years)
Adolescent ( 12-18 years)
Young Adult ( 18-30 years)
Mature Adult (30-60 years)
Elderly (>60 years)

JCAHO: I acknowledge and understand JCAHO's list of "Do Not Use Abbreviations" : Yes No

The information I have given is true and accurate to the best of my knowledge. I have read and fully understand the job description. By signing below or submitting electronically, I attest that the information provided within this skills checklist represents a full and complete disclosure of information, and is true and correct to the best of my knowledge and belief. I hereby authorize Sagent Healthstaff to release this skills checklist to client facilities for employment purposes.

* I agree with the above statements. : Yes

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* Date: (mm/dd/yyyy) :