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Hudson Staffing Travel Nurses| Dialysis Nursing Online Checklist
Dialysis Nursing Online Checklist
Thank you for your decision to apply for a travel nursing position with
Hudson Staffing
! Before we can offer you a nursing employment opportunity in the Dialysis Nursing field, an electronic skills assessment must be completed. Please, complete the nursing skills checklist below, and be sure to review your information thoroughly before clicking the submit button.
GENERAL INFORMATION
Note:
*
Denotes a required field.
Please enter your full name as it appears on your Social Security Card:
First Name
Middle Name
Last Name
*
Please enter the Last Four digits of your Social Security Number:
-
-
*
Please check here if you do not hold a valid social security card.
Please provide your contact information:
Phone Number
*
E-mail Address
*
Confirm E-mail Address
*
Type your e-mail address again above.
This profile is for use by healthcare professionals in the Dialysis Nursing discipline and specialty.
It will not be a determining factor for the program.
CHECKLIST INSTRUCTIONS
Please mark your level of experience
1. No theory and/or experience
2. Limited experience/need supervision and/or support
3. Experienced/minimal support needed to perform
4. Proficient/can perform independently
WORK SETTINGS
1
2
3
4
Acute/Inpatient Dialysis
Chronic/Outpatient Dialysis
Dialysis Home Care
Pediatric Dialysis
Apheresis
Plasmapheresis
Predialysis Nursing Assessment
Charge Experience
SET UP/INITIATE DIALYSIS TREATMENT
1
2
3
4
Bicarbonate Dialysate
Conductivity Testing
Priming Dialyzer
Prep Vascular Access
Fistula Gortex/Bovine Graft
Anticoagulation Management
Apheresis
Plasmapheresis
Cannulating Buttonholes
Continuous Renal Replacement Therapy
Peritoneal Dialysis
ASSESSMENT DURING DIALYSIS
1
2
3
4
Vascular Access Function
Arterial and Venous Pressures
Blood Flow Rate
Management of Anticoagulation
Conductivity
Ultra Filtration Calculation
Operation of Myron L. Meter
Administration of Blood and Blood Products
Administration of Mannitol
Sequential Ultrafiltration/PUF
PATIENT MANAGEMENT
1
2
3
4
Fluid Overload
Hypertension
Hypotension
Disequilibrium Syndrome
Hyperkalemia
Seizures
Muscle Cramps
Clotted Access/Poor Blood Flow Rate from Catheter
Pyrogenic Reaction
Hemolysis
Air Embolus
Chest Pain
Anemia
Neuropathy
Pericarditis
Filter Blood Leak
Cardiopulmonary Arrest
Anticoagulation Emergencies
DIALYSIS EQUIPMENT
1
2
3
4
Baxter
Cobe
Fresenius H/K
Gambro
Phoenix
T Machine
PROFESSIONAL KNOWLEDGE AND SKILLS
1
2
3
4
National Patient Safety Goals
Patient Isolation/Infection Prevention
Management of Dialysis Equipment Alarms
Bedside Blood Glucose Monitoring
Pyxis Medication Admin. System
Computerized Charting
Proton Charting Experience
AMI Charting Experience
Ecube Charting Experience
Certifications/Licensures/Registrations
1
2
3
4
BLS
CNRN
ACLS
CCRN
Please read and agree to the statements below by marking the checkbox.
You will not be able to submit until you have marked the checkbox.
*
I attest that the information I have given is true and accurate to the best of my knowledge and that I am the individual completing this form. I hereby authorize Hudson Staffing to release this Dialysis Nursing Skills Checklist to the client facilities in relation to consideration of employment as a healthcare professional with those facilities.
Privacy Note:
Hudson Staffing will record anonymous electronic information about your connection when you click on the submit button. This information is used for security purposes only. This information will include your IP Address (54.147.29.160) which will be used as a digital signature.
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Hudson Staffing
Phone:
1(866)256-8773
E-mail:
info@hudsonstaffing.net
Your resource for traveling nurse and allied health career opportunities.
Copyright (C) 2013 Hudson Staffing. All rights reserved.
