Skill Checklists

Dialysis

This checklist was electronically signed on (Today’s date)

Instructions: This checklist is meant to serve as a general guideline for our client facilities as to the level of your skills within your nursing specialty. Please use the scale below to describe your experience/expertise in each area listed below.

Proficiency Scale:

  • 1 = No Experience

  • 2 = Need Training

  • 3 = Able to perform with supervision

  • 4 = Able to perform independently

Dialysis - Assessment of Renal / GU System

Assessment of Renal/ GU System

Dialysis - Inseration of foley

Insertion of foley

Dialysis - Care of the Patient with

Turp

Nephrectomy

Ileal Conduit

Chronic Renal Failure

Hemodialysis

Peritoneal Dialysis

Acute Renal Failure

Supra-PubiC catheter

Tunneled/Non-Tunneled catheter

AV Fistual / AV Graft

Nephrostomy tube

Dialysis - Hemodialysis Experience

Predialysis Nursing Assessment

Chronic/Outpatient Dialysis

Teaching the Dialysis Patlent and Family

Pediatric Dialysis

Dialysis Home Care

Acute/Inpatient Dialysis

Dialysis - Set Up/Initiate Dialysis Treatment

Anticoagulation

Prep Vascular Access

Collect Blood Specimens

Dialysis

Fistula Gortex/Bovine Graft

Checks for Machine/Alarm Settings

Priming Dialyzer

Conductivity Testing

Bicarbonate Dialysate

Dialysis - Assess Patient and Equipment During Dialysis

Administration of Blood and Blood Products

Vascular Access Function

Volume Status

Documentation of Dialysis Treatment

Sequential Ultrafiltration/PUF

Administration of Mannitol

Operation of Myron L Meter

Ultrafiltration Calculation

Conductivity

Management of Anticoagulation

Subjective Response to Treatment

Blood Row Rate

Arterial and Venous Pressures

Systems Assessment of Patient

Dialysis - Management of the Patient With

Cardropulmonary Arrest

Anemra

Seizures

Pencarditis

Muscle Cramps

Hypertension

Filter Blood Leak

Air Embolus

Hemolysis

Neuropathy

Chest Pain

Pyrogenic Reaction

Clotted Access/Poor Blood Row Rate From catheter

Hyperkalemia

Hypotension

Chest trauma

Fluid Overload

Dialysis - Machine Alarm Troubleshooting Procedures

Venous Pressure Alarm

Blood Pump Alarm

Power Failure Alarm

Air/Foam Detector Alarm

High Temperature Alarm

Uttrafiltration Alarm

Conductivity Alarm

Arterial Pressure Alarm

Blood Leak Alarm

Dialysis - Discontinue Dialysis

Dialysis Catheter

Sterilization Procedures

Equipment Clean Up

Post Treatment Access Care

Return of Blood

Fistula/ Vern Graft

Age Specific

Elderly (>60 years)

Mature Adult (30-60 years)

Young Adult ( 18-30 years)

Adolescent ( 12-18 years)

School Age (6-12 years)

Pre-school (3-6 years)

Toddler (1-3 years)

Infant (Birth to 1 year)

I hereby certify that ALL information I have provided on this skills checklist and all other documentation is true and accurate. I understand and acknowledge that any misrepresentation or omission may result in disqualification from employment and/or immediate termination.