| Work Settings | Rating Stars (Click) | 1 | 2 | 3 | 4 | 
|---|---|---|---|---|---|
| Acute/Inpatient Dialysis | |||||
| Chronic/Outpatient Dialysis | |||||
| Dialysis Home Care | |||||
| Pediatric Dialysis | |||||
| Apheresis | |||||
| Plasmapheresis | |||||
| Predialysis Nursing Assessment | |||||
| Charge Experience | 
| Set Up/Initiate Dialysis Treatment | Rating Stars (Click) | 1 | 2 | 3 | 4 | 
|---|---|---|---|---|---|
| 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 | Rating Stars (Click) | 1 | 2 | 3 | 4 | 
|---|---|---|---|---|---|
| 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 | Rating Stars (Click) | 1 | 2 | 3 | 4 | 
|---|---|---|---|---|---|
| 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 | Rating Stars (Click) | 1 | 2 | 3 | 4 | 
|---|---|---|---|---|---|
| Baxter | |||||
| Cobe | |||||
| Fresenius H/K | |||||
| Gambro | |||||
| Phoenix | |||||
| T Machine | |||||
| Other | 
| Professional Knowledge and Skills | Rating Stars (Click) | 1 | 2 | 3 | 4 | 
|---|---|---|---|---|---|
| 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 | 
| Age Specific Competencies | Rating Stars (Click) | 1 | 2 | 3 | 4 | 
|---|---|---|---|---|---|
| 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) |