Dialysis RN Skills Checklist

Please rate your experience / frequency within the last year
0 = No Experience / Observed Only
1 = Limited Experience / Rarely Done (<6 times/year)
2 = May Need Some Review / Occasionally Done (1-2 times/month)
3 = Experienced / Frequently Done (daily or weekly)

Please rate your experience / frequency within the last year

0 = No Experience / Observed Only

1 = Limited Experience / Rarely Done (<6 times/year)

2 = May Need Some Review / Occasionally Done (1-2 times/month)

3 = Experienced / Frequently Done (daily or weekly)

Please rate your experience / frequency within the last year
0 = No Experience / Observed Only
1 = Limited Experience / Rarely Done (<6 times/year)
2 = May Need Some Review / Occasionally Done (1-2 times/month)
3 = Experienced / Frequently Done (daily or weekly)

MM slash DD slash YYYY

Age Of Patients Cared For

Newborn/Neonate (birth to 30 days)
Infant (31 days to 12 months)
Toddler/Preschool (13 months to 5 years)
School Age Child/adolescent (6 years to 18 years)
Young Adults/ Middle Adult (19 years to 64 years)
Older Adults/Elderly (65+ years)

General Skills

Care of Patient in Restraints
Automated Med Dispensing Systems
Electronic Documentation
IV Pumps
Peripheral IV Insertion, Care and Maintenance
Access/Management of Implanted Ports
Access/Management of Central Lines (CVL, Hickman, Broviac, Groshong, etc.)
Administration of Blood/Blood Products
Knowledge of "Do Not Use Abbreviations"
Do you have charge/supervisor experience?
Knowledge of current Joint Commission National Patient Safety Goals
Knowledge/familiarity with HCAHPS scores

Hemodialysis Setting / Procedures Experience

Acute / Inpatient Dialysis
Apheresis
Chronic / Outpatient Dialysis
Dialysis Home Care
Pediatric Dialysis
Predialysis Nursing Assessment
Plasmapheresis

Care Of Patient With

Nephrostomy Tube
A V Fistula / A V Graft
Tunneled / Non-Tunneled Catheter
Insertion of urinary catheter (straight cath or foley)
Ileal Conduit
Supra-Pubic Catheter
Renal Failure
TURP
Peritoneal Dialysis
Hemodialysis

Set Up / Initiate Dialysis Treatment

Anticoagulation
Bicarbonate Dialysate
Conductivity Testing
Priming Dialyzer
Checks for Machine / Alarm Settings
Prep Vascular Access
Fistula Gortex / Bovine Graft
Dialysis
Collect Blood Specimens
Cannulating Buttonholes
Continuous Renal Replacement Therapy (CRRT)
Peritoneal Dialysis

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 Calculation
Operation of Myron L. Meter
Administration of Mannitol
Sequential Ultrafiltration / PUF
Documentation of Dialysis Treatment

Management Of Patient With

Anticoagulation Emergency
Anemia
Air Embolus
Cardiopulmonary Arrest
Chest Pain
Clotted Access / Poor Blood Flow Rate from Catheter
Disequilibrium syndrome
Filter Blood Leak
Fluid Overload
Hemolysis
Hypertension
Hypotension
Hyperkalemia
Muscle Cramps
Neuropathy
Pericarditis
Pyrogenic Reaction
Seizures

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 Alarm

Equipment Used

Baxter
Fresnius
Cobe
Gambro
Phoenix
T Machine