Dialysis Technician Skills Checklist | Health Hybrid Medical Staffing

Date*

Name: (First, MI, Last)*

Email

RENAL/GENITOURINARY

Insertion of Foley:*

Care of the Patient with:*

AV Fistula/AV Graft:*

Peritoneal Dialysis:*

Hemodialysis:*

Tunneled/Non-Tunneled Catheter:*

HEMODIALYSIS SKILLS/PROCEDURES

Experience:*

Acute/Inpatient Dialysis:*

Chronic/Outpatient Dialysis:*

Dialysis Home Care:*

Pediatric Dialysis:*

Set Up/Initiate Dialysis Treatment:*

Bicarbonate Dialysate:*

Conductivity Testing:*

Priming Dialyzer:*

Checks for Machine/Alarm Settings:*

Prep Vascular Access:*

Fistula Gortex/Bovine Graft:*

Dialysis:*

Collect Blood Specimens:*

Anticoagulation:*

Assess Patient and Equipment During Dialysis:*

Volume Status:*

Vascular Access Function:*

Arterial and Venous Pressures:*

Blood Flow Rate:*

Subjective Response to Treatment:*

Management of Anticoagulation:*

Conductivity:*

Ultrafiltration:*

Operation of Myron L. Meter:*

Sequential Ultrafiltration/PUF:*

Documentation of Dialysis Treatment:*

Care of the Patient with:*

Fluid Overload:*

Hypertension:*

Hypotension:*

Disequilibrium Syndrome:*

Hyperkalemia:*

Seizures:*

Muscle Cramps:*

Pyrogenic Reaction:*

Hemolysis:*

Air Embolus:*

Chest Pain:*

Anemia:*

Neuropathy:*

Pericarditis:*

Filter Blood Leak:*

Cardiopulmonary Arrest:*

Machine Alarm Troubleshooting Procedures:*

Blood Leak Alarm:*

Arterial Pressure Alarm:*

Venous Pressure Alarm:*

Conductivity Alarm:*

Ultrafiltration Alarm:*

High Temperature Alarm:*

Air/Foam Detector Alarm:*

Power Failure Alarm:*

Blood Pump Failure:*

Discontinue Dialysis:*

Dialysis Catheter:*

Fistula/Vein Graft:*

Return of Blood:*

Post Treatment Access Care:*

Equipment Clean Up:*

Sterilization Procedures:*

Equipment:*

Baxter:*

Cobe:*

Fresenius H/K:*

Gambro:*

Phoenix:*

Other:*

Miscellaneous:*

National Patient Safety Goals:*

Computerized Charting:*

Experience with age groups

Able to adapt care to incorporate normal growth and development:

Able to adapt method and terminology of patient instructions to their age, comprehension and maturity level:

Can ensure a safe environment reflecting specific needs of various age groups:

Certifications/Licensures/Registrations:

BLS

CHT

CCHT

Areas of Expertise:

Consent*

By submitting this form, I agree to all terms and conditions and agree to authorize consent

Comments

This field is for validation purposes and should be left unchanged.