Dialysis Skills Checklist – What You Need to Know

Optimize dialysis care with our checklist for nurses, designed by CareNational. Ensure compliance, patient safety, and efficiency with key protocols for pre-, intra-, and post-dialysis procedures.

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Skills Checklist
This Skills Checklist is for use by nurses with more than one-year experience in their discipline and specialty. Please be accurate with your assessment.
DIRECTIONS: Please indicate your level of experience by placing a check (X) in the box.
Experience level:
1 NO EXPERIENCE
2 MINIMAL EXPERIENCE - requires supervision/assistance
3 MODERATELY EXPERIENCED - requires initial review, then performs independently
4 VERY EXPERIENCED - proficient
RENAL/ GENITOURINARY
Assessment of Renal/GU System*
Insertion of Foley*
Nephrostomy Tube*
AV Fistula/AV Graft*
Tunneled/Non-Tunneled Catheter*
Ileal Conduit*
Supra-Pubic Catheter*
Chronic Renal Failure*
Acute Renal Failure*
Nephrectomy*
Turp*
Peritoneal Dialysis*
Hemodialysis*
HEMODIALYSIS/ PROCEDURES
Acute/Inpatient Dialysis*
Chronic/Outpatient Dialysis*
Dialysis Home Care*
Pediatric Dialysis*
Predialysis Nursing Assessment*
Teaching the Dialysis Patient and Family*
SET-UP/ STARTING DIALYSIS TREATMENT
Collect Blood Specimens*
Anticoagulation*
Dialysis*
Fistula Gortex/Bovine Graft*
Prep Vascular Access*
Checking Alarm Settings/Machine*
Priming Dialyzer*
Conductivity Testing*
Bicarbonate Dialysis*
ASSESS PATIENT AND EQUIPMENT DURING DIALYSIS
Systems Assessment of Patient*
Volume Status*
Vascular Access Function*
Operation of Myron L Meter*
Sequential Ultrafiltration/PUF*
Arterial and Venous Pressures*
Blood Flow Rare*
Conductivity*
Administration of Blood/Blood Products*
Documentation of Treatment*
Subjective Response to Treatment*
Management of Anticoagulation*
Ultrafiltration Calculation*
Administration of Mannitol*
CARE OF PATIENT WITH
Fluid Overload*
Hypertension*
Muscle Cramps*
Hemolysis*
Anemia*
Filter Blood Leak*
Hypotension*
Disequilibrium Syndrome*
Clotted Access/Poor Blood Flow Rate from Catheter*
Air Embolus*
Neuropathy*
Cardiopulmonary Arrest*
Hyperkalemia*
Seizures*
Pyrogenic Reaction*
Chest Pain*
Pericarditis*
DISCONTINUE DIALYSIS
Dialysis Catheter*
Post Treatment Access Care*
Fistula/Vein Graft*
Equipment Clean Up*
Return of Blood*
Sterilization Procedures*
MISCELLANEOUS
Care of Immunosupressed Patient*
Care of Patient with AIDS*
Isolation Techniques*
Assessment of Wound Healing*
Sterile Dressing Changes*
Phlebotomy/Venous Blood Draw*
Discussing Organ & Tissue Donation*
COMPUTERIZED CHARTING
Cerner*
Eclipsys*
Epic*
McKesson*
Meditech*
List Other
Other*
AGE SPECIFIC
Please check the boxes below for each age group for which you have expertise in providing age-appropriate nursing care.
A. Newborn/Neonatal (birth – 30 days)

B. Infant (30 days – 1 year)

C. Toddler (1 – 3 years)

D. Preschool (3 – 5 years)

E. School Age Children (5 – 12 years)

F. Adolescent (12 – 18 years)

G. Young Adults (18 – 39 years)

H. Middle Adults (40 – 64 years)

I. Older Adults (64 + years)

EXPERIENCE WITH AGE GROUPS:
Able to assess age appropriate behavior, motor skills and physiological norms.
- A
- B
- C
- D
- E
- F
- G
- H
- I
Able to adapt care according to normal growth and development.
- A
- B
- C
- D
- E
- F
- G
- H
- I
Able to communicate and instruct patient according to their age, maturity and comprehension ability.
- A
- B
- C
- D
- E
- F
- G
- H
- I
Able to provide a safe environment according to the specific needs of various age groups.
- A
- B
- C
- D
- E
- F
- G
- H
- I
I HAVE CURRENT CERTIFICATIONS FOR:

Current Certifications*

Type	Completion Date	Expiration Date

Please add any certifications you have as well as your completion date and/or expiration date.

MY EXPERIENCE IS PRIMARILY IN*

Field	Years

E-Signature*
e-signature
The information I have provided in this knowledge and skills checklist it true and accurate to the best of my knowledge.
Your Name*
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Date
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Dialysis Skills Checklist – What You Need to Know

Skills Checklist

RENAL/ GENITOURINARY

HEMODIALYSIS/ PROCEDURES

SET-UP/ STARTING DIALYSIS TREATMENT

ASSESS PATIENT AND EQUIPMENT DURING DIALYSIS

CARE OF PATIENT WITH

DISCONTINUE DIALYSIS

MISCELLANEOUS

COMPUTERIZED CHARTING

AGE SPECIFIC

I HAVE CURRENT CERTIFICATIONS FOR:

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