Dialysis Skill Checklist
Answer Key
1. No Experience 2. Requires Supervision 3. Proficient 4. Can Teach Others
Work Settings
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Acute/Inpatient Dialysis
Chronic/Outpatient Dialysis
Dialysis Home Care
Pediatric Dialysis
Teaching the Dialysis Patient and Family
Charge Nurse Experience
Set Up/Initiate Treatment
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Bicarbonate Dialysate
Conductivity Testing
Priming Dialyzer
Machine and Alarm Setting Checks
Prep Vascular Access
Fistula/Vein Graft
Dialysis
Blood Specimen Collection
Anticoagulation
Care of Patient
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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
Administration of Blood/ Products
Administration of Mannitol
Sequential Ultrafiltration/PUF
Documentation of Dialysis Treatment
Management of Patient With
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Air Embolus
Anemia
Blood Leak
Cardiopulmonary Arrest
Chest Pain
Disequilibrium Syndrome
Fluid Overload
Hemolysis
Hyperkalcemia
Hypertension
Hypotension
Muscle Cramps
Neuropathy
Pericarditis
Pyrogenic Reaction
Procedures for Machine Alarms
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Air/Foam Detector Alarm
Air Leak
Arterial Pressure Alarm
Blood Leak Alarm
High Temperature Alarm
Power Failure Alarm
Ultrafiltration Alarm
Venous Pressure Alarm
Discontinue Dialysis
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Dialysis Catheter
Fistula/Vein Graft
Return of Blood
Post-Treatment Access Care
Equipment Clean-Up
Renal/GU
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Assessment of Renal/GU System
Foley Catheter Insertion
Acute Renal Failure
AV Fistula/AV Graft
Chronic Renal Failure
Ileal Conduit
Nephrectomy
Nephrostomy Tube
Peritoneal Dialysis
Supra-Pubic Catheter
Tunneled/Non-Tunneled Catheter
TURP
Age Specific
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Newborn/Neonatal (up to 30 days)
Infant (30 days to 1 year)
Toddler (1 to 3 years)
Preschooler (3 to 5 years)
School Age (5 to 12 years)
Adolescents (12 to 18 years)
Young Adults (18 to 39 years)
Middle Adults (40 to 64 years)
Older Adults (65 & up)
Undertaking
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The Information I Provided is True & Accurate
Name
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Date
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Month
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Day
Year
2 digit month, 2 digit day, 4 digit year
Date
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