Dialysis RN Clinical Skills Checklist

Fill Out and Submit your Skills Checklist

(Dialysis RN Clinical)

Your name

Your Email

Last 4 Of SSN

Date

E-Signature

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

Renal / Genitourinary

Assessment of Renal/GU System:

★★★★

Insertion of Foley:

★★★★

Care of Patient with:

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:

★★★★

Administration of Mannitol:

★★★★

Sequential Ultrafiltration / PUF:

★★★★

Documentation of Treatment:

★★★★

Care of Patient With

Fluid Overload:

★★★★

Hypertension:

★★★★

Hypotension:

★★★★

Disequilibrium Syndrome:

★★★★

Hyperkalemia:

★★★★

Seizures:

★★★★

Muscle Cramps:

★★★★

Clotted Access/Poor Blood Flow 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):

★★★★