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Dialysis Technologist

Dialysis Technologist

Dialysis Technologist

General Skills

Question 

Proficiency 

Frequency

Bicarbonate Dialysate
Disinfecting surfaces and equipment
Conductivity Testing
Priming Dialyzer
Checks for Machine/Alarm Setting
Temperature test on the machine
pH Test on the machine
Heat disinfects
Standard rinse
Acetic Acid rinse
Bleach rinse
Sodium Variation system
Ultrafiltration Profiling System
Prep Vascular Access
Local/Topical Skin Anesthesia
Administration of Heparin
Heparin adverse reactions
Heparin Protocols
Normal Saline Precautions
Collect Blood Specimens
Label specimens correctly
Select appropriate container for specimens
Follow procedure for transporting specimens
Follow procedure for handling blood/tissues/culture
Follow procedure for special tests
Document specimens in appropriate places
Post-Treatment Access Care
Equipment Clean Up
Sterilization Procedures

ASSESS PATIENT AND EQUIPMENT DURING DIALYSIS

Volume Status
Vascular Access Function
Arterial and Venous
Blood Flow Rate
Subjective Response to Treatment
Management of Anticoagulation
Conductivity
Ultrafiltration Calculation
Operation of Myron Meter
Sequential Ultrafiltration/PUF
Documentation of Dialysis Treatment
Knowledge of age-appropriate vital signs

CARE OF PATIENTS WITH

AV Fistula/ AV Graft
Fistula Gore Tex/Bovine Graft
Peritoneal Dialysis
Hemodialysis
Tunneled/ Non-tunneled catheter
Fluid Overload
Hypertension
Hypotension
Disequilibrium Syndrome
Hyperkalemi
Seizures
Muscle Cramps
Pyrogenic Reaction
Hemolysis
Air Embolism
Chest Pain
Anemia
Neuropathy
Pericarditis
Filter Blood Leak
Cardiopulmonary Arrest
Nausea and vomiting
Hypoglycemia
Bleeding Access

WATER TREATMENT PROCEDURES

RO system start-up procedure
Water hardness test
Chlorine/Chloramine Test
Dissolved Solutes meter test
Pressure drops
RO rejection
Operating parameters
RO system shutdown procedure
Manual RO bypass

MACHINE ALARM TROUBLESHOOTING PROCEDURES

Blood Leak Alarm
Arterial Pressure Alarm
Venous Pressure Alarm
Conductivity Alarm
High Temperature Alarm
Air/Foam Detector Alarm
Power Failure Alarm
Blood Pump Alarm
Ultrafiltration Alarm
Clotted Dialyzer
Dialyzer blood leak
Replace a dialyzer
Blood flow problems

EXPERIENCE

Acute/Inpatient Dialysis
Dialysis Home Care
Chronic/Outpatient Dialysis
Pediatric Dialysis
Patient and Family Education

PRECAUTIONS/INFECTION CONTROL

Universal precaution
Barrier precaution
Isolation, regular
Isolation, reverse
Aseptic technique
Biohazard waste disposal
Sharps disposal
Body Fluids Spill disinfection procedure
Handling hazardous and contaminated materials properly

EMERGENCIES

Knowing fire policy and disaster plan
Assisting 911 personnel
Emergency termination of dialysis
Hand crank during power failure
Know the location and proper use of emergency equipment

MISCELLANEOUS

National Patient Safety Goals
Effectively communicates problems/issues to multidisciplinary team member
Computerized Charting
BLS
Understanding of HIPAA

AGE SPECIFIC COMPETENCIES

Newborn/Neonate (birth to 30 days)
Infant (31 days to 12 months)
Toddler (1-3 years)
Preschooler (3-5 years)
School age children (5-12 years)
Adolescents (12-18 years)
Young adults (18-39 years)
Middle adults (39-64 years)
Older adults (64-79 years)
Elderly adults (80+ years)

Rank each of the following sections on a scale

No experience

Little Experience

High Experience

Master

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