This checklist will be used to assess your suitability for placement.
Experience Guide
1 - Not Applicable -
minimal or no exposure to clinical aspect or care.
2 - Beginner -
sufficient knowledge to understand the contextual nature of the function, able to perform routine functions independently, requires assistance when setting priorities in complex situations, needs to gain speed and flexibility to be competent.
3 - Competent -
perceives situations and functions as a whole, has knowledge of the typical events to expect in a given situation and the appropriate responses, flexible in decision making.
4 - Proficient -
considerable background and experience, can grasp situations intuitively, mastery in performance, incorporates elements of innovation and creativity in clinical experience.
Introduction To Renal Failure
Regulatory Function Of The Normal Kidney
Experience 1 2 3 4
Blood Cell Productions
Blood Pressure Control
Electrolyte Balance
Excretion Of Waste Products
Fluid Balance
Results Of Renal Failure - Accumulation Of Waste Products And Electrolytes And The Symptoms That Result
Treatment Of Chronic Renal Failure As Seen In The Dialysis Unit
Experience 1 2 3 4
Diet Restrictions
Fluid Restrictions - Relationship Of Diet/fluid Intake To Weight Gain And Blood Chemistry
Fluid Restrictions - Relationship Of Treatment And Symptoms
Medications
Experience 1 2 3 4
Anticoagulants
Antihypertensives
Digitalis Preparations
Erythropoetin
Iron Supplements - Iv And Po
Phosphate Binders
Vitamin D Replacement
Vitamins
Medications
Experience 1 2 3 4
Hemodialysis; Definition, Function, And Limitations
Peritoneal; Definition, Function, And Limitations
Transplantation: Definition, Function And Limitations
Dialysis Theory
Osmosis & Diffusion Across A Semi Permeable Membrains
Experience 1 2 3 4
Dialysate Composition
Dialysate Concentration Gradient
The Dialyzer Membrane
Ultrafilitration
Experience 1 2 3 4
Blood Flow, As It Relates To Clearances
Definition
Hydrostatic Pressure
Osmotic Gradients
Pressure Gradient, As Related To Different Dialyzers
Ultrafilitration
Experience 1 2 3 4
Care Of An Access: All Types
Central Venous Catheters
Fistulas
Grafts
Technical Skills
Machine Set-up
Experience 1 2 3 4
Definition Of Machine Components
Identification Of Supplies Used
Maintenance Of Sterility
Preparation Of Dialysate
Priming And Testing Of A New Dialyzer
Priming & Testing A Reprocessed Dialyzer On Cobe C-3
Proper Set-up Of Supplies Onto Machine (cobe-c3)
Initiation Of Dialysis
Experience 1 2 3 4
Cannulation Technique
Catheter Connection Technique
Conductivity Check Of Dialysate
Final Check Of Machine Alarms
Patient Assessment
Patient Connection To Blood Lines And Initiation Of Treatment
Monitoring Dialysis Treatment
Experience 1 2 3 4
Blood Flow Rate, Pump Usage
Blood Pressure And Vital Signs
Clotting Times
Dialysate Appearance
Dialysate Conductivity
Dialysate Flow
Dialysate Temperature
Extracorporeal Negative Pressure (np)
Extracorporeal Positive Pressure (vr)
Extracorporeal Transmembrane Pressure (tmp)
Heparinization Continuous Infusions
Heparinization - Heparin-free Dialysis
Heparinization - Minimum Doses
Completion Of The Dialysis Treatment
Experience 1 2 3 4
Access Needle Removal
Care Of Access Sites
Cvc Dressing Change
Patient Assessment
Returning Blood
Machine Shutdown
Experience 1 2 3 4
Acid Rinse
Bleaching
Cleaning Of The Machine
Disinfection
Technical Problems During The Treatment
Experience 1 2 3 4
Dialyzer Malfunction Prior To Dialysis
During Treatment Dialyzer Leak
During Treatment Dialyzer Rupture
Negative Arterial Pressure Clotting
Negative Arterial Pressure Needle Placement
Positive Pressure Clotting
Positive Pressure Needle Placement, Line Kinking
Patient Complications On Dialysis
Experience 1 2 3 4
Air Embolif
Cardiac/pulmonary Arrest
Cramping
Headache/seizure
Hemodialysis
Hypertension
Hypotension
Pyrogen Reaction
Standing Orders
Treatment Of Complications
Charting
Dialysis Care Plans
Experience 1 2 3 4
Dialysis Treatment Record (kardex)
Hemodialysis Treatment Record
Long Term Care Plan
Nursing Assessment
Patient Care Plan
Short Term Care Plan
Chart Forms
Experience 1 2 3 4
Action Flow Sheet
Daily Charge Log And Forms
Erythropetin Flow Sheet
Hcfa Forms
Medication Sheet
Misc. Chart Forms
Monthly Treatment Log
Physician Orders/cor Status
Progress Notes/problem List
Quality Assurance Forms
Machine Maintenance
Experience 1 2 3 4
Cleaning/replacing Filters
Culture Procedure
Disinfecting Procedures Rinse And Residual Test
Testing Dialysate Conductivity
Testing Dialysate Temperature
Ro Water Purification System
General
Experience 1 2 3 4
Initiating The Bypass System And Ordering Di Tanks.
Maintenance
Experience 1 2 3 4
Culture Procedure
Daily Water Analysis Checks And Tests
Disinfection Procedure
Residual Test Procedure
Operation
Experience 1 2 3 4
Fuse
Shut-down
Start-up
Central Bicarbonate Delivery System
General
Experience 1 2 3 4
Activating Alarm
Analysis Of Becarbonate
Mixing Becarbonate Solutions
Purging Loop Of Air
Shut-down
Start-up
Central Acid Delivery System
General
Experience 1 2 3 4
Activate Alarm
Changing Drums
Checking Level
Dialyzer Reprocessing Operation
General
Experience 1 2 3 4
Dialyzer Testing
Labeling
Operation, Logs
Start-up; Checks, Verification Of Disinfectant
Storing Of Dialyzers
Age Specific Practice Criteria
Please check the boxes below for each age group for which you have expertise in providing age-appropriate nursing care.
A.
New Born/Neonate
(Birth - 30 days)
B.
Infant
(30 days - 1 Year)
C.
Toddler
(1 - 3 Years)
D.
Preschooler
(3 - 5 Years)
E.
School age children
(5 - 12 Years)
F.
Adolescents
(12 - 18 Years)
G.
Young Adults
(18 - 39 Years)
H.
Middle Adults
(39 - 64 Years)
I.
Older Adults
( +64 Years)
Experience With Age Groups
Able to adapt care to incorporate normal growth and development
A
B
C
D
E
F
G
H
I
Able to adapt method and terminology of patient information to their age, comprehension and maturity level.
A
B
C
D
E
F
G
H
I
Can ensure a safe environment reflecting specific needs of varying age groups.
A
B
C
D
E
F
G
H
I
By submitting this checklist you agree to the following:
I attest that the information I have given is true and accurate to the best of my knowledge and that I am the individual completing this form. I hereby authorize the Company to release this Skills Checklist to the Client facilities in relation to consideration of employment as a per diem nurse with those facilities.
Back to