Dialysis RN Skills Checklist

Please rate your experience / frequency within the last year
0 = No Experience / Observed Only
1 = Limited Experience / Rarely Done (<6 times/year)
2 = May Need Some Review / Occasionally Done (1 - 2 times/month)
3 = Experienced / Frequently Done (daily or weekly)

AGE OF PATIENTS CARED FOR
GENERAL SKILLS

Automated Med Dispensing Systems

Electronic Documentation

IV Pumps

HEMODIALYSIS SETTING / PROCEDURES EXPERIENCE
CARE OF PATIENT WITH
SET UP / INITIATE DIALYSIS TREATMENT
ASSESS PATIENT AND EQUIPMENT DURING DIALYSIS
MANAGEMENT OF PATIENT WITH
MACHINE ALARM TROUBLESHOOTING PROCEDURES
EQUIPMENT USED