Instructions: This checklist is
meant to serve as a general guideline for our client facilities as to the
level of your skills within your nursing specialty. Please use the scale
(PROFICIENCY)
1 = No Experience
2 = Need Training
3 = Able to perform with supervision
4 = Able to perform independently
(FREQUENCY)
1 = Never performed observed only
2 = Less than 6 times per year
3 = 1-2 times per month
4 = Daily or Weekly
PROFICIENCY / FREQUENCY
PROFICIENCY
FREQUENCY
Assessment of Renal/GU System
Tunneled/Non-Tunneled Catheter
HEMODIALYSIS / PROCEDURES
Chronic/Outpatient Dialysis
Predialysis Nursing Assessment
Teaching the Dialysis Patient and Family
SET-UP / STARTING DIALYSIS TREATMENT
Fistula Gortex / Bovine Graft
Checking Alarm Settings/Machine
ASSESS PATIENT AND EQUIPMENT DURING DIALYSIS
Systems Assessment of Patient
Arterial and Venous Pressures
Subjective Response to Treatment
Management of Anticoagulation
Ultrafiltration Calculation
Operation of Myron L Meter
Administration of Blood/Blood Products
Administration of Mannitol
Sequential Ultrafiltration / PUF
Documentation of Treatment
Clotted Access/Poor Blood Flow Rate From Catheter
Post Treatment Access Care
Care of Immunosupressed Patient
Care of Patient with AIDS
Assessment of Wound Healing
Phlebotomy / Venous Blood Draw
Discussing Organ & Tissue Donation
Age Specific Competencies
Preschooler (ages 2-5 years)
Childhood (ages 6-12 years)
Adolescents (ages 13-21 years)
Young Adults (ages 22-39 years)
Adults (ages 40-64 years)
Older Adults (ages 65-79 years)