Skill Checklists

Dialysis RN Clinical

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

RENAL/GENITOURINARY

Assessment of Renal/GU System

Insertion of Foley

RENAL/GENITOURINARY- Care of 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 / PROCEDURES

Acute/Inpatient Dialysis

Chronic/Outpatient Dialysis

Dialysis Home Care

Pediatric Dialysis

Predialysis Nursing Assessment

Teaching the Dialysis Patient and Family

SET-UP / STARTING DIALYSIS TREATMENT

Collect Blood Specimens

Anticoagulation

Dialysis

Fistula Gortex / Bovine Graft

Prep Vascular Access

Checking Alarm Settings/Machine

Priming Dialyzer

Conductivity Testing

Bicarbonate Dialysis

Assess Patient & 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/Blood Products

Administration of Mannitol

Sequential Ultrafiltration / PUF

Documentation of Treatment

CARE OF 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

DISCONTINUE DIALYSIS:

Dialysis Catheter

Fistula / Vein Graft

Return of Blood

Post Treatment Access Care

Equipment Clean Up

Sterilization Procedures

MISCELLANEOUS:

Care of Immunosupressed Patient

Care of Patient with AIDS

Isolation Techniques

Assessment of Wound Healing

Sterile Dressing Changes

Phlebotomy / Venous Blood Draw

Discussing Organ & Tissue Donation

Age Specific Competencies

Infant (Birth - 1 year)

Preschooler (ages 2-5 years)

Childhood (ages 6-12 years)

Adolescents (ages 13-21 years)

Young Adults (ages 22-39 years)

Adults (ages 40-64 years)

Older Adults (ages 65-79 years)

Elderly (ages 80+ years)

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.