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No experience: requires education, training and supervision
Intermittent experience: may need support or supervise
Proficient: consistent experience, independent
Expert level: can teach/supervise others.

Work Settings:

Acute Care Inpatient Dialysis

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4

Chronic Outpatient Dialysis

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Dialysis Home Care

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4

Pediatric Dialysis

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Care of the Patient With :

Acute renal failure

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Acute kidney injury

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CAVH dialysis (continuous arteriovenous hemofiltration)

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Chronic renal failure (ESRD)

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4

CRRT (Continuous Renal Replacement Therapy)

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Fluid/ electrolyte imbalance

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4

Hemodialysis

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4

Kidney Transplant

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4

Nephrectomy

1
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4

Nephrotic syndrome

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4

Peritoneal Dialysis

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4

Renal rejection syndrome

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4

Dialysis Treatment

Administration of Anti-infective

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Administration of blood/blood products during treatment

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Administration of IV pushes medications

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Administration of Mannitol/albumin/ 23.4% NaCL

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4

Apheresis

1
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4

Arterial pressure

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3
4

Blood flow rates (Qb)

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4

Conductivity meters

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3
4

Dialysate flow rate (Qd)

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3
4

Documentation of dialysis treatment

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4

Management of anticoagulation

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4

Operation of Myron L. Meter

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4

Peritoneal catheter malfunction

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3
4

Plasmapheresis

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4

Ultrafiltration calculation

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3
4

Ultrafiltration rate

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3
4

Vascular access malfunction

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4

Venous pressure

1
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3
4

Equipment

B. Braun Dialog

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4

Baxter

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4

Cobe

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4

Fresenius J/K

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4

Gambro

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4

HomeChoice Peritoneal Dialysis system

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4

Phoenix

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4

Prismaflex machine for CRRT

1
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3
4

T Machine

1
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4

Initiate/ Set Up Dialysis Treatment

Absence of disinfectant in system

1
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4

Ability to cannulate AV graft

1
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3
4

Ability to cannulate AV fistula

1
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4

Add chemicals to Dialysate and Label

1
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4

Attach blood lines to dialyzer

1
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4

Attach concentrate lines

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4

Check for machine/alarm settings

1
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4

Collect blood specimens

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4

Dialysate Conductivity testing

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4

Dialysate PH testing

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4

Inspect dialyzer for defects

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4

Irrigate access lines

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4

Perform recirculation procedure

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4

Prep AV Fistula

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4

Prime extracorporeal circuit

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4

Priming dialyzer

1
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4

Secure lines to arterial access

1
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4

Stabilize blood lines

1
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4

Tunneled/ Non Tunneled Catheter

1
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4

Machine Alarm Troubleshooting Procedures

Air Foam Detector Alarm

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4

Arterial Pressure Alarm

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4

Blood Leak Detector

1
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4

Blood pump alarm

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4

Conductivity Alarm

1
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3
4

Dialysate Pressure

1
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3
4

Power failure alarm

1
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3
4

Temperature alarm

1
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3
4

Ultrafiltration alarm

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3
4

Venous pressure alarm

1
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3
4

Post dialysis treatment

Blood return

1
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4

Disconnect from AV Fistula

1
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4

Disconnect from dialysis catheter

1
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4

Equipment clean up

1
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3
4

Post treatment access care

1
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3
4

Sterilization procedure

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4

Professional Knowledge and Skills

Airway management

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4

Blood glucose monitoring

1
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3
4

Cardiac monitoring

1
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4

HIPPA guidelines (Health Insurance Portability and Accountability Act)

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4

Infection Control

1
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4

Interpretation and communication of lab values

1
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3
4

JACHO guidelines (Joint Commission on the Accreditation of Healthcare Organization)

1
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3
4

OSHA guidelines (Occupational Safety and Health Administration)

1
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4

Oxygen therapy

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4

Pain assessment & management

1
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4

Personal Protective Equipment

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4

Standard Precautions

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4

Start and Maintain IV

1
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4

Symptom management

Air emboli

1
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3
4

Cardiac arrest

1
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3
4

Chest pain

1
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4

Clotted access/poor blood flow rate

1
2
3
4

Disequilibrium syndrome

1
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3
4

Filter blood leak

1
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3
4

Fluid overload

1
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3
4

Hemolysis

1
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4

Hyperkalemia

1
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4

Hypotension

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4

Muscle cramps

1
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4

Pericarditis

1
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3
4

Pyrogenic reaction

1
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4

Seizures

1
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4

COMPUTERIZED CHARTING

Cerner

1
2
3
4

EPIC

1
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3
4

McKesson

1
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4

Meditech

1
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4

Allscripts

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4

OASIS

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4

MIDAS

1
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4

Other:

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4

If Other Please Specify

Age Specific Competency

Neonate

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Infant

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4

Child

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Adolescent

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4

Young Adult

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4

Middle Adult

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4

Older Adult

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4

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