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
Chronic/Outpatient Dialysis
Predialysis Nursing Assessment
SET UP/INITIATE DIALYSIS TREATMENT
Fistula Gortex/Bovine Graft
Anticoagulation Management
Continuous Renal Replacement Therapy
ASSESSMENT DURING DIALYSIS
Arterial and Venous Pressures
Management of Anticoagulation
Ultra Filtration Calculation
Operation of Myron L. Meter
Administration of Blood and Blood Products
Administration of Mannitol
Sequential Ultrafiltration/PUF
Clotted Access/Poor Blood Flow Rate from Catheter
Anticoagulation Emergencies
PROFESSIONAL KNOWLEDGE AND SKILLS
National Patient Safety Goals
Patient Isolation/Infection Prevention
Management of Dialysis Equipment Alarms
Bedside Blood Glucose Monitoring
Pyxis Medication Admin. System
Proton Charting Experience
Ecube Charting Experience
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)