ADEX Medical Staffing - Dialysis Tech Skills Checklist

Dialysis Tech Skills Checklist

This assessment is for determining your experience in the below outlined clinical areas. This checklist will not be used as a determining factor in accepting your application for employment with ADEX Medical Staffing, LLC.

Proficency Scale:

1 = No Experience - Theory only

2 = Limited Experience - Infrequent

3 = Moderate Experience - Able to perform independently

4 = Proficient - Able to perform proficiently and instruct

Personal Information
Name:
Email:
City:
Country:
State/Region:

Experience	1	2	3	4
Acute/Inpatient Dialysis
Chronic/Outpatient Dialysis
Dialysis Home Care
Pediatric Dialysis
Patient and Family Education

Set Up / Initiate Dialysis Treatment	1	2	3	4
Bicarbonate Dialysate
Conductivity Testing
Priming Dialyzer
Checks for Machine/Alarm Settings
Prep Vascular Access
Local/Topical Skin Anesthesia
Collect Blood Specimens
Machine set up w/Anticoagulant

Assess Patient and Equipment During Dialysis	1	2	3	4
Volume Status
Vascular Access Function
Arterial and Venous
Blood Flow Rate
Subjective Response to Treatment
Management of Anticoagulation
Conductivity
Ultrafiltration Calculation
Operation of Myron L. Meter
Sequential Ultrafiltration/PUF
Documentation of Dialysis Treatment

Machine Alarm Troubleshooting Procedures	1	2	3	4
Blood Leak Alarm
Arterial Pressure Alarm
Venous Pressure Alarm
Conductivity Alarm
High Temperature Alarm
Air/Foam Detector Alarm
Power Failure Alarm
Blood Pump Alarm

Discontinue Dialysis	1	2	3	4
Fistula / Vein Graft
Return of Blood
Post Treatment Access Care
Equipment Clean Up
Sterilization Procedures

Care of Patient with	1	2	3	4
AV Fistula/AV Graft
Peritoneal Dialysis
Hemodialysis
Tunneled/Non-Tunneled catheter
Fluid Overload
Hypertension
Hypotension
Disequilibrium syndrome
Hyperkalemia
Seizures
Muscle Cramps
Pyrogenic Reaction
Hemolysis
Air Embolus
Chest Pain
Anemia
Neuropathy
Pericarditis
Filter Blood Leak
Cardiopulmonary Arrest

Age Specific Skills	1	2	3	4
Newborn birth-30 days
Infant 30 days-1 year
Toddler 1-3 years
Preschooler 3-5 years
School Age 5-12 years
Adolescents 12-18 years
Young Adults 18-39 years
Middle Adults 39-64 years
Older Adults 64+ years

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The information represented above is true and correct to the best of my knowledge. I authorize ADEX Medical Staffing, LLC to share this skills checklist with its clients.
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Form Reviewed by ADEX Clinician - 10/14/2009