Dialysis Nursing Skills Checklist Step 1 of 2 50% Date:* Name* RENAL/GENITOURINARYAssessment of Renal/GU System:* N/A Inexperienced Limited Experience Experienced Highly Experienced Insertion of Foley:* N/A Inexperienced Limited Experience Experienced Highly Experienced Care of the Patient with:* N/A Inexperienced Limited Experience Experienced Highly Experienced Nephrostomy Tube:* N/A Inexeprienced Limited Experience Experienced Highly Experienced AV Fistula/AV Graft:* N/A Inexperienced Limited Experience Experienced Highly Experienced Tunneled/Non-Tunneled Catheter:* N/A Inexperienced Limited Experience Experienced Highly Experienced Ileal Conduit:* N/A Inexperienced Limited Experience Experienced Highly Experienced Supra-Pubic Catheter:* N/A Inexperienced Limited Experience Experienced Highly Experienced Chronic Renal Failure:* N/A Inexperienced Limited Experience Experienced Highly Experienced Acute Renal Failure:* N/A Inexperienced Limited Experince Experienced Highly Experienced Nephrectomy:* N/A Inexperienced Limited Experience Experienced Highly Experienced TURP:* N/A Inexperienced Limited Experience Experienced Highly Experienced Peritoneal Dialysis:* N/A Inexperienced Limited Experience Experienced Highly Experienced Hemodialysis:* N/A Inexperienced Limited Experience Experienced Highly Experienced HEMODIALYSIS SKILLS/PROCEDURESExperience:* N/A Inexperienced Limited Experience Experienced Highly Experienced Acute/Inpatient Dialysis:* N/A Inexperienced Limited Experience Experienced Highly Experienced Chronic/Outpatient Dialysis:* N/A Inexperienced Limited Experience Experienced Highly Experienced Dialysis Home Care:* N/A Inexperienced Limited Experience Experienced Highly Experienced Pediatric Dialysis:* N/A Inexperienced Limited Experience Experienced Highly Experienced Apheresis:* N/A Inexperienced Limited Experience Experienced Highly Experienced Plasmapheresis:* N/A Inexperienced Limited Experience Experienced Highly Experienced Predialysis Nursing Assessment:* N/A Inexperienced Limited Experience Experienced Highly Experienced Teaching the Dialysis Patient and Family:* N/A Inexperienced Limited Experience Experienced Highly Experienced Set Up/Initiate Dialysis Treatment:* N/A Inexperienced Limited Experience Experienced Highly Experienced Bicarbonate Dialysate:* N/A Inexperienced Limited Experience Experienced Highly Experienced Conductivity Testing:* N/A Inexperienced Limited Experience Experienced Highly Experienced Priming Dialyzer:* N/A Inexperienced Limited Experience Experienced Highly Experienced Checks for Machine/Alarm Settings:* N/A Inexperienced Limited Experience Experienced Highly Experienced Prep Vascular Access:* N/A Inexperienced Limited Experience Experienced Highly Experienced Fistula Gortex/Bovine Graft:* N/A Inexperienced Limited Experience Experienced Highly Experienced Dialysis:* N/A Inexperienced Limited Experience Experienced Highly Experienced Collect Blood Specimens:* N/A Inexperienced Limited Experience Experienced Highly Experienced Anticoagulation:* N/A Inexperienced Limited Experience Experienced Highly Experienced Apheresis:* N/A Inexperienced Limited Experience Experienced Highly Experienced Plasmapheresis:* N/A Inexperience Limited Experience Experienced Highly Experienced Assess Patient and Equipment During Dialysis:* N/A Inexperienced Limited Experience Experienced Highly Experienced Systems Assessment of Patient:* N/A Inexperienced Limited Experience Experienced Highly Experienced Volume Status:* N/A Inexperienced Limited Experience Experienced Highly Experienced Vascular Access Function:* N/A Inexperienced Limited Experience Experienced Highly Experienced Arterial and Venous Pressures:* N/A Inexperienced Limited Experience Experienced Highly Experienced Blood Flow Rate:* N/A Inexperienced Limited Experience Experienced Highly Experienced Subjective Response to Treatment:* N/A Inexperienced Limited Experience Experienced Highly Experienced Management of Anticoagulation:* N/A inexperienced Limited Experience Experienced Highly Experienced Conductivity:* N/A Inexperienced Limited Experience Experienced Highly Experienced Ultra Filtration Calculation:* N/A Inexperienced Limited Experience Experienced Highly Experienced Operation of Myron L. Meter:* N/A Inexperienced Limited Experience Experienced Highly Experienced Administration of Blood and Blood Products:* N/A Inexperienced Limited Experienced Experienced Highly Experienced Administration of Mannitol:* N/A Inexperienced Limited Experience Experienced Highly Experienced Sequential Ultrafiltration/PUF:* N/A Inexperienced Limited Experience Experienced Highly Experienced Documentation of Dialysis Treatment:* N/A Inexperienced Limited Experience Experienced Highly Experienced Care of the Patient with:* N/A Inexperienced Limited Experience Experienced Highly Experienced Fluid Overload:* N/A Inexperienced Limited Experience Experienced Highly Experienced Hypertension:* N/A Inexperienced Limited Experience Experienced Highly Experienced Hypotension:* N/A Inexperienced Limited Experience Experienced Highly Experienced Disequilibrium Syndrome:* N/A Inexperienced Limited Experience Experienced Highly Experienced Hyperkalemia:* N/A Inexperienced Limited Experience Experienced Highly Experienced Seizures:* N/A Inexperienced Limited Experience Experienced Highly Experienced Muscle Cramps:* N/A Inexperienced Limited Experience Experienced Highly Experienced Clotted Access/Poor Blood Flow Rate from Catheter:* N/A Inexperienced Limited Experience Experienced Highly Experienced Pyrogenic Reaction:* N/A Inexperienced Limited Experience Experienced Highly Experienced Hemolysis:* N/A Inexperienced Limited Experience Experienced Highly Experienced Air Embolus:* N/A Inexperienced Limited Experience Experienced Highly Experienced Chest Pain:* N/A Inexperienced Limited Experience Experienced Highly Experienced Anemia:* N/A Inexperienced Limited Experience Experienced Highly Experienced Neuropathy:* N/A Inexperienced Limited Experience Experienced Highly Experienced Pericarditis:* N/A Inexperienced Limited Experience Experienced Highly Experienced Filter Blood Leak:* N/A Inexperienced Limited Experience Experienced Highly Experienced Cardiopulmonary Arrest:* N/A Inexperienced Limited Experience Experienced Highly Experienced Machine Alarm Troubleshooting Procedures:* N/A Inexperienced Limited Experience Experienced Highly Experienced Blood Leak Alarm:* N/A Inexperienced Limited Experience Experienced Highly Experienced Arterial Pressure Alarm:* N/A Inexperienced Limited Experience Experienced Highly Experienced Venous Pressure Alarm:* N/A Inexperienced Limited Experience Experienced Highly Experienced Conductivity Alarm:* N/A Inexperienced Limited Experience Experienced Highly Experienced Air/Foam Detector Alarm:* N/A Inexperienced Limited Experience Experienced Highly Experienced Power Failure Alarm:* N/A Inexperienced Limited Experience Experienced Highly Experienced Blood Pump Failure Alarm:* N/A Inexperienced Limited Experience Experienced Highly Experienced Discontinue Dialysis:* N/A Inexperienced Limited Experience Experienced Highly Experienced Dialysis Catheter:* N/A Inexperienced Limited Experience Experienced Highly Experienced Fistula/Vein Graft:* N/A Inexperienced Limited Experience Experienced Highly Experienced Return of Blood:* N/A Inexperienced Limited Experience Experienced Highly Experienced Post Treatment Access Care:* N/A Inexperienced Limited Experience Experienced Highly Experienced Date* Equipment Clean Up:* N/A Inexperienced Limited Experience Experienced Highly Experienced Sterilization Procedures:* N/A Inexperienced Limited Experience Experienced Highly Experienced Equipment:* N/A Inexperienced Limited Experience Experienced Highly Experienced Baxter:* N/A Inexperienced Limited Experienced Experienced Highly Experienced Cobe:* N/A Inexperienced Limited Experience Experienced Highly Experienced Fresenius H/K:* N/A Inexperienced Limited Experience Experienced Highly Experienced Gambro:* N/A Inexperienced Limited Experience Experienced Highly Experienced Phoenix:* N/A Inexperienced Limited Experience Experienced Highly Experienced Other:* N/A Inexperienced Limited Experience Experienced Highly Experienced Miscellaneous:* N/A Inexperienced Limited Experience Experienced Highly Experienced National Patient Safety Goals:* N/A Inexperienced Limited Experience Experienced Highly Experienced Computerized Charting:* N/A Inexperienced Limited Experience Experienced Highly Experienced Bedside Blood Glucose Monitoring:* N/A Inexperienced Limited Experience Experienced Highly Experienced Pyxis Medication Admin. System:* N/A Inexperienced Limited Experience Experienced Highly Experienced Other Medication Admin. System:* N/A Inexperienced Limited Experience Experienced Highly Experienced Able to adapt care to incorporate normal growth and development: N/A Inexperienced Limited Experience Experienced Highly Experienced Able to adapt method and terminology of patient instructions to their age, comprehension and maturity level: N/A Inexperienced Limited Experience Experienced Highly Experienced Can ensure a safe environment reflecting specific needs of various age groups: N/A Inexperienced Limited Experience Experienced Highly Experienced Certifications/Licensures/Registrations:BLS MM slash DD slash YYYY CRN MM slash DD slash YYYY ACLS MM slash DD slash YYYY CCRN MM slash DD slash YYYY Areas of Expertise:Consent* By submitting this form, I agree to all terms and conditions and agree to authorize consent NumberUntitledNumber NumberPhoneThis field is for validation purposes and should be left unchanged.
