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Dialysis Clinical

Information

Name *

Last 4 digits of SSN *

Phone *

Email *

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 *

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 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 *

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) *

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