DIALYSIS SKILLS EVALUATION
DIALYSIS SKILLS EVALUATION
Personal Information
Name
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First
Last
Title / Specialty
Email
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Basic Nursing Care
Airway Management
Perform Well - Two plus years experience
Limited Experience - One - two years experience
Intermittent Experience
Theory - No practice
No Experience
Oxygen Therapy Administration
Perform Well - Two plus years experience
Limited Experience - One - two years experience
Intermittent Experience
Theory - No practice
No Experience
Bag & Mask
Perform Well - Two plus years experience
Limited Experience - One - two years experience
Intermittent Experience
Theory - No practice
No Experience
ET Tube
Perform Well - Two plus years experience
Limited Experience - One - two years experience
Intermittent Experience
Theory - No practice
No Experience
Face Mask
Perform Well - Two plus years experience
Limited Experience - One - two years experience
Intermittent Experience
Theory - No practice
No Experience
Nasal Cannula
Perform Well - Two plus years experience
Limited Experience - One - two years experience
Intermittent Experience
Theory - No practice
No Experience
Trach Collar
Perform Well - Two plus years experience
Limited Experience - One - two years experience
Intermittent Experience
Theory - No practice
No Experience
BiPAP
Perform Well - Two plus years experience
Limited Experience - One - two years experience
Intermittent Experience
Theory - No practice
No Experience
Ambu Bag
Perform Well - Two plus years experience
Limited Experience - One - two years experience
Intermittent Experience
Theory - No practice
No Experience
Fluid & Electrolyte Balance / Management
Perform Well - Two plus years experience
Limited Experience - One - two years experience
Intermittent Experience
Theory - No practice
No Experience
Pulse Oximetry
Perform Well - Two plus years experience
Limited Experience - One - two years experience
Intermittent Experience
Theory - No practice
No Experience
Oral Suctioning
Perform Well - Two plus years experience
Limited Experience - One - two years experience
Intermittent Experience
Theory - No practice
No Experience
Venipuncture
Perform Well - Two plus years experience
Limited Experience - One - two years experience
Intermittent Experience
Theory - No practice
No Experience
Blood Glucose Monitoring
Perform Well - Two plus years experience
Limited Experience - One - two years experience
Intermittent Experience
Theory - No practice
No Experience
Foley Catheter Insertion
Perform Well - Two plus years experience
Limited Experience - One - two years experience
Intermittent Experience
Theory - No practice
No Experience
Intake & Output Monitoring
Perform Well - Two plus years experience
Limited Experience - One - two years experience
Intermittent Experience
Theory - No practice
No Experience
Seizure Precautions
Perform Well - Two plus years experience
Limited Experience - One - two years experience
Intermittent Experience
Theory - No practice
No Experience
CPR
Perform Well - Two plus years experience
Limited Experience - One - two years experience
Intermittent Experience
Theory - No practice
No Experience
NG Tube Insertion / Management
Perform Well - Two plus years experience
Limited Experience - One - two years experience
Intermittent Experience
Theory - No practice
No Experience
Assess Circulation / Peripheral Pulses
Perform Well - Two plus years experience
Limited Experience - One - two years experience
Intermittent Experience
Theory - No practice
No Experience
Interpretation of Labs
Perform Well - Two plus years experience
Limited Experience - One - two years experience
Intermittent Experience
Theory - No practice
No Experience
Dietary Needs for ESRD patients
Perform Well - Two plus years experience
Limited Experience - One - two years experience
Intermittent Experience
Theory - No practice
No Experience
IV Insertion
Perform Well - Two plus years experience
Limited Experience - One - two years experience
Intermittent Experience
Theory - No practice
No Experience
Care Of Patients With:
Air Emboli
Perform Well - Two plus years experience
Limited Experience - One - two years experience
Intermittent Experience
Theory - No practice
No Experience
Anemia
Perform Well - Two plus years experience
Limited Experience - One - two years experience
Intermittent Experience
Theory - No practice
No Experience
Cardiac Arrest
Perform Well - Two plus years experience
Limited Experience - One - two years experience
Intermittent Experience
Theory - No practice
No Experience
Chest Pain
Perform Well - Two plus years experience
Limited Experience - One - two years experience
Intermittent Experience
Theory - No practice
No Experience
Clotted Access / Poor Flow Rate
Perform Well - Two plus years experience
Limited Experience - One - two years experience
Intermittent Experience
Theory - No practice
No Experience
Disequilibrium Syndrome
Perform Well - Two plus years experience
Limited Experience - One - two years experience
Intermittent Experience
Theory - No practice
No Experience
Filter Blood Leak
Perform Well - Two plus years experience
Limited Experience - One - two years experience
Intermittent Experience
Theory - No practice
No Experience
Fluid Overload
Perform Well - Two plus years experience
Limited Experience - One - two years experience
Intermittent Experience
Theory - No practice
No Experience
Hemolysis
Perform Well - Two plus years experience
Limited Experience - One - two years experience
Intermittent Experience
Theory - No practice
No Experience
Hypertension
Perform Well - Two plus years experience
Limited Experience - One - two years experience
Intermittent Experience
Theory - No practice
No Experience
Hypotension
Perform Well - Two plus years experience
Limited Experience - One - two years experience
Intermittent Experience
Theory - No practice
No Experience
Infiltration of an AV access
Perform Well - Two plus years experience
Limited Experience - One - two years experience
Intermittent Experience
Theory - No practice
No Experience
Muscle Cramps
Perform Well - Two plus years experience
Limited Experience - One - two years experience
Intermittent Experience
Theory - No practice
No Experience
Neuropathy
Perform Well - Two plus years experience
Limited Experience - One - two years experience
Intermittent Experience
Theory - No practice
No Experience
Pericarditis
Perform Well - Two plus years experience
Limited Experience - One - two years experience
Intermittent Experience
Theory - No practice
No Experience
Pyogenic Reactions
Perform Well - Two plus years experience
Limited Experience - One - two years experience
Intermittent Experience
Theory - No practice
No Experience
Seizures
Perform Well - Two plus years experience
Limited Experience - One - two years experience
Intermittent Experience
Theory - No practice
No Experience
Dialysis Experience - General
Acute / Inpatient Dialysis
Perform Well - Two plus years experience
Limited Experience - One - two years experience
Intermittent Experience
Theory - No practice
No Experience
Chronic / Outpatient Dialysis
Perform Well - Two plus years experience
Limited Experience - One - two years experience
Intermittent Experience
Theory - No practice
No Experience
Pediatric Dialysis
Perform Well - Two plus years experience
Limited Experience - One - two years experience
Intermittent Experience
Theory - No practice
No Experience
Peritoneal Dialysis
Perform Well - Two plus years experience
Limited Experience - One - two years experience
Intermittent Experience
Theory - No practice
No Experience
Dialysis Home Care
Perform Well - Two plus years experience
Limited Experience - One - two years experience
Intermittent Experience
Theory - No practice
No Experience
Predialysis RN Assessment
Perform Well - Two plus years experience
Limited Experience - One - two years experience
Intermittent Experience
Theory - No practice
No Experience
Patient / Family Teaching re: Dialysis
Perform Well - Two plus years experience
Limited Experience - One - two years experience
Intermittent Experience
Theory - No practice
No Experience
CVVH
Perform Well - Two plus years experience
Limited Experience - One - two years experience
Intermittent Experience
Theory - No practice
No Experience
CAPD
Perform Well - Two plus years experience
Limited Experience - One - two years experience
Intermittent Experience
Theory - No practice
No Experience
Cycled PD
Perform Well - Two plus years experience
Limited Experience - One - two years experience
Intermittent Experience
Theory - No practice
No Experience
Initiate Dialysis
Bicarbonate Dialysate
Perform Well - Two plus years experience
Limited Experience - One - two years experience
Intermittent Experience
Theory - No practice
No Experience
Conductivity and pH Testing
Perform Well - Two plus years experience
Limited Experience - One - two years experience
Intermittent Experience
Theory - No practice
No Experience
Priming the Dialyzer
Perform Well - Two plus years experience
Limited Experience - One - two years experience
Intermittent Experience
Theory - No practice
No Experience
Check Machine / Alaram Settings
Perform Well - Two plus years experience
Limited Experience - One - two years experience
Intermittent Experience
Theory - No practice
No Experience
Prep Vascular Access
Perform Well - Two plus years experience
Limited Experience - One - two years experience
Intermittent Experience
Theory - No practice
No Experience
Catheter Vascular Acccess
Perform Well - Two plus years experience
Limited Experience - One - two years experience
Intermittent Experience
Theory - No practice
No Experience
Fistula / Graft Vascular Access
Perform Well - Two plus years experience
Limited Experience - One - two years experience
Intermittent Experience
Theory - No practice
No Experience
Collect Blood Specimen
Perform Well - Two plus years experience
Limited Experience - One - two years experience
Intermittent Experience
Theory - No practice
No Experience
Anticoagulation
Perform Well - Two plus years experience
Limited Experience - One - two years experience
Intermittent Experience
Theory - No practice
No Experience
Set up for Cycler PD Machine
Perform Well - Two plus years experience
Limited Experience - One - two years experience
Intermittent Experience
Theory - No practice
No Experience
Set up for CVHD
Perform Well - Two plus years experience
Limited Experience - One - two years experience
Intermittent Experience
Theory - No practice
No Experience
Management During Dialysis
Patient Assessment by System
Perform Well - Two plus years experience
Limited Experience - One - two years experience
Intermittent Experience
Theory - No practice
No Experience
Volume Status Assessment
Perform Well - Two plus years experience
Limited Experience - One - two years experience
Intermittent Experience
Theory - No practice
No Experience
Vascular Access Funstion Assessment
Perform Well - Two plus years experience
Limited Experience - One - two years experience
Intermittent Experience
Theory - No practice
No Experience
Arterial / Vascular Funstion Assessment
Perform Well - Two plus years experience
Limited Experience - One - two years experience
Intermittent Experience
Theory - No practice
No Experience
Blood Flow Rate
Perform Well - Two plus years experience
Limited Experience - One - two years experience
Intermittent Experience
Theory - No practice
No Experience
Response to Treatment (Subjective)
Perform Well - Two plus years experience
Limited Experience - One - two years experience
Intermittent Experience
Theory - No practice
No Experience
Anticoagulant Managment
Perform Well - Two plus years experience
Limited Experience - One - two years experience
Intermittent Experience
Theory - No practice
No Experience
Conductivity
Perform Well - Two plus years experience
Limited Experience - One - two years experience
Intermittent Experience
Theory - No practice
No Experience
Ultra Filtration Calculation
Perform Well - Two plus years experience
Limited Experience - One - two years experience
Intermittent Experience
Theory - No practice
No Experience
Administration of Blood / Blood Products
Perform Well - Two plus years experience
Limited Experience - One - two years experience
Intermittent Experience
Theory - No practice
No Experience
Vitami D Derivative
Perform Well - Two plus years experience
Limited Experience - One - two years experience
Intermittent Experience
Theory - No practice
No Experience
Iron Replacement
Perform Well - Two plus years experience
Limited Experience - One - two years experience
Intermittent Experience
Theory - No practice
No Experience
Antibiotic Administration
Perform Well - Two plus years experience
Limited Experience - One - two years experience
Intermittent Experience
Theory - No practice
No Experience
IV Push Medications
Perform Well - Two plus years experience
Limited Experience - One - two years experience
Intermittent Experience
Theory - No practice
No Experience
IV Pump Medications
Perform Well - Two plus years experience
Limited Experience - One - two years experience
Intermittent Experience
Theory - No practice
No Experience
Mannitol Administration
Perform Well - Two plus years experience
Limited Experience - One - two years experience
Intermittent Experience
Theory - No practice
No Experience
Sequential Ultra Filtration / PUF
Perform Well - Two plus years experience
Limited Experience - One - two years experience
Intermittent Experience
Theory - No practice
No Experience
Documentation of Dialysis Treatment
Perform Well - Two plus years experience
Limited Experience - One - two years experience
Intermittent Experience
Theory - No practice
No Experience
Epogen
Perform Well - Two plus years experience
Limited Experience - One - two years experience
Intermittent Experience
Theory - No practice
No Experience
Discontinuation of Dialysis
Retransfusion Procedure
Perform Well - Two plus years experience
Limited Experience - One - two years experience
Intermittent Experience
Theory - No practice
No Experience
Dialysis Catheter Procedure
Perform Well - Two plus years experience
Limited Experience - One - two years experience
Intermittent Experience
Theory - No practice
No Experience
Fistual / Graft Procedure
Perform Well - Two plus years experience
Limited Experience - One - two years experience
Intermittent Experience
Theory - No practice
No Experience
Post Treatment Access Care
Perform Well - Two plus years experience
Limited Experience - One - two years experience
Intermittent Experience
Theory - No practice
No Experience
Biohazard Procedures
Perform Well - Two plus years experience
Limited Experience - One - two years experience
Intermittent Experience
Theory - No practice
No Experience
Equipment Clean Up
Perform Well - Two plus years experience
Limited Experience - One - two years experience
Intermittent Experience
Theory - No practice
No Experience
Sterilization Procedure
Perform Well - Two plus years experience
Limited Experience - One - two years experience
Intermittent Experience
Theory - No practice
No Experience
Additional Information
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