Dialysis RN Clinical Skills Checklist

Fill Out and Submit your Skills Checklist
Skills Checklist
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:
1No Experience
2Need Training
3Able to perform with supervisione
4Able to perform independently
RENAL/GENITOURINARY:
Assessment of Renal/GU System
0
Insertion of Foley
0
Care of Patient with:
Nephrostomy Tube
0
AV Fistula / AV Graft
0
Tunneled/Non-Tunneled Catheter
0
Ileal Conduit
0
Supra-Pubic Catheter
0
Chronic Renal Failure
0
Acute Renal Failure
0
Nephrectomy
0
Turp
0
Peritoneal Dialysis
0
Hemodialysis
0
HEMODIALYSIS / PROCEDURES
Acute/Inpatient Dialysis
0
Chronic/Outpatient Dialysis
0
Dialysis Home Care
0
Pediatric Dialysis
0
Predialysis Nursing Assessment
0
Teaching the Dialysis Patient and Family
0
SET-UP / STARTING DIALYSIS TREATMENT
Collect Blood Specimens
0
Anticoagulation
0
Dialysis
0
Fistula Gortex / Bovine Graft
0
Prep Vascular Access
0
Checking Alarm Settings/Machine
0
Priming Dialyzer
0
Conductivity Testing
0
Bicarbonate Dialysis
0
ASSESS PATIENT AND EQUIPMENT DURING DIALYSIS:
Systems Assessment of Patient
0
Volume Status
0
Vascular Access Function
0
Arterial and Venous Pressures
0
Blood Flow Rate
0
Subjective Response to Treatment
0
Management of Anticoagulation
0
Conductivity
0
Ultrafiltration Calculation
0
Operation of Myron L Meter
0
Administration of Blood/Blood Products
0
Administration of Mannitol
0
Sequential Ultrafiltration / PUF
0
Documentation of Treatment
0
CARE OF PATIENT WITH:
Fluid Overload
0
Hypertension
0
Hypotension
0
Disequilibrium Syndrome
0
Hyperkalemia
0
Seizures
0
Muscle Cramps
0
Clotted Access/Poor Blood Flow Rate From Catheter
0
Pyrogenic Reaction
0
Hemolysis
0
Air Embolus
0
Chest Pain
0
Anemia
0
Neuropathy
0
Pericarditis
0
Filter Blood Leak
0
Cardiopulmonary Arrest
0
DISCONTINUE DIALYSIS:
Dialysis Catheter
0
Fistula / Vein Graft
0
Return of Blood
0
Post Treatment Access Care
0
Equipment Clean Up
0
Sterilization Procedures
0
MISCELLANEOUS
Care of Immunosupressed Patient
0
Care of Patient with AIDS
0
Isolation Techniques
0
Assessment of Wound Healing
0
Sterile Dressing Changes
0
Phlebotomy / Venous Blood Draw
0
Discussing Organ & Tissue Donation
0
Age Specific Competencies
Infant (Birth - 1 year)
0
Preschooler (ages 2-5 years)
0
Childhood (ages 6-12 years)
0
Adolescents (ages 13-21 years)
0
Young Adults (ages 22-39 years)
0
Adults (ages 40-64 years)
0
Older Adults (ages 65-79 years)
0
Elderly (ages 80+ years)
0