Dialysis Technician Skills Checklist

This profile is for use by Dialysis Technicians with more than one year's experience in their discipline and specialty.

After completing your skills checklist, click "Submit".

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First Name:*
Last Name:*
Social Security:
Email Address:
Date:


Please indicate your level of experience
A. Theory, no practice C. One - two years experience
B. Intermittent experience D. Two plus years experience

RENAL/GENITOURINARY
Insertion of foley A B C D
Care of the Patient With:  
AV Fistula/ AV Graft A B C D
Tunneled/Non-Tunneled Catheter A B C D
Peritoneal Dialysis A B C D
Hemodialysis A B C D

HEMODIALYSIS SKILLS/PROCEDURES
Experience  
Acute/Inpatient Dialysis A B C D
Chronic/Outpatient Dialysis A B C D
Dialysis Home Care A B C D
Pediatric Dialysis A B C D
Set Up/Initiate Dialysis  
Bicarbonate Dialysate A B C D
Conductivity Testing A B C D
Priming Dialyzer A B C D
Checks for Machine/Alarm Settings A B C D
Prep Vascular Access A B C D
Fistula Gortex/Bovine Graft A B C D
Dialysis A B C D
Collect Blood Specimens A B C D
Anticoagulation A B C D
Assess Patient and Equipment During Dialysis  
Volume Status A B C D
Vascular Assess Foundation A B C D
Arterial and Venous Pressures A B C D
Blood Flow Rate A B C D
Subjective Response to Treatment A B C D
Management of Anticoagulation A B C D
Conductivity A B C D
Ultrafiltration Calculation A B C D
Operation of Myron L. Meter A B C D
Sequential Ultrafiltration/PUF A B C D
Documentation of Dialysis Treatment A B C D
Care of the Patient With:  
Fluid Overload A B C D
Hypertension A B C D
Hypotension A B C D
Disequilibrium syndrome A B C D
Hyperkalemia A B C D
Seizures A B C D
Muscle Cramps A B C D
Pyrogenic Reaction A B C D
Hemolysis A B C D
Air Embolus A B C D
Chest Pain A B C D
Anemia A B C D
Neuropathy A B C D
Pericarditis A B C D
Filter Blood Leak A B C D
Cardiopulmonary Arrest A B C D
Machine Alarm Troubleshooting Procedures  
Blood Leak Alarm A B C D
Arterial Pressure Alarm A B C D
Venous Pressure Alarm A B C D
Conductivity Alarm A B C D
Ultrafiltration Alarm A B C D
High Temperature Alarm A B C D
Air/Foam Detector Alarm A B C D
Power Failure Alarm A B C D
Blood Pump Failure A B C D
Discontinue Dialysis  
Dialysis Catheter A B C D
Fistula/ Vein Graft A B C D
Return of Blood A B C D
Post Treatment Access Care A B C D
Equipment Clean Up A B C D
Sterilization Procedures A B C D

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. Newborn/Neonate (birth - 30 days)
F. Adolescents (12 - 18 years)
B. Infant (30 days - 1 year) G. Young adults (18 - 39 years)
C. Toddler (1 - 3 years) H. Middle adults (39 - 64 years)
D. Preschooler (3 - 5 years) I. Older adults (64+)
E. School age children (5 - 12 years)  


EXPERIENCE WITH AGE GROUPS: A B C D E F G H I
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.



Certification: (mo/yr)
BCLS Exp. date:      
CHT Exp. date:      
Dialysis Training other than CHT:  
Computerized charting system:
Other (type): Exp. date:
 

The information I have given is true and accurate to the best of my knowledge. I hereby authorize Berean Healthcare Staffing to release this Dialysis Technician Skills Checklist to Client facilities of Berean Healthcare Staffing in relation to consideration of my employment with those facilities.



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