Administrative Registered Nurse Skills Checklist

Dialysis Nursing Skills Checklist

Fill Out and Submit your Skills Checklist

(Dialysis Nursing)

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I hereby certify that ALL information I have provided on this skills checklist and all other documentation, is true and accurate. I understand and acknowledge that any misrepresentation or omission may result in disqualification from employment and/or immediate termination.

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:

1 = No Experience
2 = Need Training
3 = Able to perform with supervision
4 = Able to perform independently

WORK SETTINGS

Acute/Inpatient Dialysis:

★★★★

Chronic/Outpatient Dialysis:

★★★★

Dialysis Home Care:

★★★★

Pediatric Dialysis:

★★★★

Apheresis:

★★★★

Plasmapheresis:

★★★★

Predialysis Nursing Assessment:

★★★★

Charge Experience:

★★★★

SET UP/INITIATE DIALYSIS TREATMENT

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

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

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

Baxter:

★★★★

Cobe:

★★★★

Fresenius H/K:

★★★★

Gambro:

★★★★

Phoenix:

★★★★

T Machine:

★★★★

Other:

★★★★

PROFESSIONAL KNOWLEDGE AND SKILLS

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

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):

★★★★

Certifications

BLS

Expiry:

CNRN

Expiry:

ACLS

Expiry:

CCRN

Expiry:

Other: Expiry:

Dialysis Nursing Skills Checklist

Fill Out and Submit your Skills Checklist

(Dialysis Nursing)

Proficiency Scale:

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