Dialysis Skills Checklist

Please mark your level of experience
1.  No theory and/or experience
2.  Limited experience/need supervision and/or support
3.  Experienced/minimal support needed to perform
4.  Proficient/can perform independently
WORK SETTINGS
 1234
Acute/Inpatient Dialysis
Chronic/Outpatient Dialysis
Dialysis Home Care
Pediatric Dialysis
Apheresis
Plasmapheresis
Predialysis Nursing Assessment
Charge Experience
SET UP/INITIATE DIALYSIS TREATMENT
 1234
Bicarbonate Dialysate
Conductivity Testing
Priming Dialyzer
Prep Vascular Access
Fistula Gortex/Bovine Graft
Anticoagulation Management
Apheresis
Plasmapheresis
Cannulating Buttonholes
Continuous Renal Replacement Therapy
Peritoneal Dialysis
ASSESSMENT DURING DIALYSIS
 1234
Vascular Access Function
Arterial and Venous Pressures
Blood Flow Rate
Management of Anticoagulation
Conductivity
Ultra Filtration Calculation
Operation of Myron L. Meter
Administration of Blood and Blood Products
Administration of Mannitol
Sequential Ultrafiltration/PUF
PATIENT MANAGEMENT
 1234
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
Anticoagulation Emergencies
DIALYSIS EQUIPMENT
 1234
Baxter
Cobe
Fresenius H/K
Gambro
Phoenix
T Machine
PROFESSIONAL KNOWLEDGE AND SKILLS
 1234
National Patient Safety Goals
Patient Isolation/Infection Prevention
Management of Dialysis Equipment Alarms
Bedside Blood Glucose Monitoring
Pyxis Medication Admin. System
Computerized Charting
Proton Charting Experience
AMI Charting Experience
Ecube Charting Experience
COMPUTERIZED CHARTING
 1234
Epic
Cerner
Eclipsys
McKesson
Meditech
Other Computerized System
Computerized Physician Order Entry
Bar Coding for Medication Administration
 YesNo
EMR Conversion
By checking the "Agree" box and clicking “Submit” below you certify and acknowledge the information provided on this checklist is accurate to the best of your knowledge and an accurate representation of your abilities. *