Dialysis Clinical

Information

Proficiency Scale

1 = No Experience

2 = Need Training

3 = Able to perform with supervision

4 = Able to perform independently

Assessment Section

Renal/Genitourinary

✔ Assessment of Renal/GU System *
★ ★ ★ ★ ★
✔ Insertion of Foley *
★ ★ ★ ★ ★
✔ 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 *
★ ★ ★ ★ ★

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 *
★ ★ ★ ★ ★
✔ Bicarbonate Dialysis *
★ ★ ★ ★ ★

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/Blood Products *
★ ★ ★ ★ ★
✔ Sequential Ultrafiltration / PUF *
★ ★ ★ ★ ★
✔ Administration of Mannitol *
★ ★ ★ ★ ★
✔ 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 *
★ ★ ★ ★ ★
✔ Sterilization Procedures *
★ ★ ★ ★ ★

Miscellaneous

✔ Care of Immunosuppressed 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) *
★ ★ ★ ★ ★