MATRIX PERSONNEL SERVICE, INC.
RN PROFICIENCY RECORD ( SKILLS CHECKLIST )
Dialysis

 


NAME DATE

E -MAIL ADDRESS

 

LEVEL OF PROFICIENCY
Theory - NO Experience
1
Minimal Experience
2
Competent and Experienced
3

SKILLS
1
2
3
RENAL/GENITOURINARY
Assessment of Renal/GU System
Care of the Patient with Renal Disorders
Nephrostomy Tube
AV Fistula/AV Graft
Tunneled/Non-tunneled Catheter
Iliel Conduit
Supra Pubic Catheter
Chronic Renal Failure
Acute Renal Failure
Nephrectomy
TURP
HEMODIALYSIS SKILLS/PROCEDURES
Acute/Inpatient Dialysis
Chronic/Outpatient Dialysis
Pediatric Dialysis
Pre-dialysis Nursing Assessment
Teaching the Dialysis Patient/Family
Set-Up/Initiate Dialysis
Bicarbonate Dialysate
Conductivity Testing
Priming Dialyzer
Prep Vascular Access
Fistula Gortex/Bovine Graft
Peritoneal Dialysis
Hemodialysis
Collect Blood Specimens
Anticoagulation
Care/Assessment of the Patient during Dialysis
Volume Status
Vascular Access Function
Arterial and Venous Pressures
Blood Flow Rate
Anticoagulation
Care of the Patient With
Fluid Overload
Hypertension
Hypotension
Disequilibrium Syndrome
Hyperkalemia
Seizures
Muscle Cramps
Clotted Access
Pyrogenic Reaction
Hemolysis
Air Embolus
Chest Pains
Anemia
Neuropathy
Pericarditis
Filter Blood Leak
CPR
ALARM TROUBLESHOOTING PROCEDURES 
Blood Leak Alarm
Arterial Pressure Alarm
Venous Pressure Alarm
Conductivity Alarm
Ultrafiltration Alarm
High Temperature Alarm
Air/Foam Detector Alarm
Blood Pump Alarm
DISCONTINUE DIALYSIS
Dialysis Catheter
Fistula/Vein Graft
Return of Blood
Post-Treatment Access Care
Equipment Clean Up
Sterilization Procedures



Certification
Expiration Date
Certification
Expiration Date
ACLS
PALS
BLS
TNCC
CEN
Other  
ENPC
Other  


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