Dialysis – unizon

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Recruiter Email ID *

First Name *

Last Name *

Phone Number *

Today's Date *

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WORK SETTING EXPERIENCE:

Rank each of the following sections on a scale of 1 to 3:

Limited or no experience
Experienced, but may need review or supervision
Able to function independently *

Inpatient Acute Care Facility *

Trauma Center *

Academic/Teaching Facility *

Outpatient Care Facility *

Long term care/Skilled Nursing *

Clinic/Ambulatory *

Home Health Setting *

RENAL/GENITOURINARY EXPERIENCE:

Rank each of the following sections on a scale of 1 to 3:

Limited or no experience
Experienced, but may need review or supervision
Able to function independently *

Assessment Of Renal/Gu System *

Insertion Of Foley *

CARE OF PATIENT WITH:

Rank each of the following sections on a scale of 1 to 3:

Limited or no experience
Experienced, but may need review or supervision
Able to function independently *

Nephrostomy Tube *

Av Fistula / Av Graft *

Tunneled / Non - Tunneled Catheter *

Ileal Conduit *

Supra - Pubic Catheter *

Chronic Renal Failure *

Acute Renal Failure *

Nephrectomy *

Turp *

Peritoneal Dialysis *

Hemodialysis *

Fluid Overload *

Hypo / Hypertension *

Disequilibrium Syndrome *

Hypo / Hyperkalemia *

Seizures *

Clotted Access / Poor Blood Flow *

Pyrogenic Reaction *

Hemolysis *

Air Embolus *

Chest Pain *

Anemia *

Neuropathy *

Pericarditis *

Filter Blood Leak *

Cardiac Arrest *

IHEMODIALYSIS / PROCEDURES:

Rank each of the following sections on a scale of 1 to 3:

Limited or no experience
Experienced, but may need review or supervision
Able to function independently *

Acute / Inpatient Dialysis *

Chronic / Outpatient Dialysis *

Dialysis Home Care *

Pediatric Dialysis *

Predialysis Nursing Assessment *

Teaching The Dialysis Patient And Family *

SET-UP / STARTING DIALYSIS TREATMENT:

Rank each of the following sections on a scale of 1 to 3:

Limited or no experience
Experienced, but may need review or supervision
Able to function independently *

Collect Blood Specimens *

Anticoagulation *

Dialysis *

Fistula Gortex / Bovine Graft *

Prep Vascular Access *

Checking Alarm Settings / Machine *

Priming Dialyzer *

Conductivity Testing *

Bicarbonate Dialysis *

ASSESS PATIENT & EQUIPMENT DURING DIALYSIS:

Rank each of the following sections on a scale of 1 to 3:

Limited or no experience
Experienced, but may need review or supervision
Able to function independently *

Systems Assessment Of Patient *

Volume Status *

Vascular Access Function *

Arterial And Venous Pressures *

Blood Flow Rate *

Subjective Response To Treatment *

Management Of Anticoagulation *

Conductivity *

Ultrafiltration Calculation *

Operation Of Myron L Meter *

Administration Of Blood/Blood Products *

Administration Of Mannitol *

Sequential Ultrafiltration / Puf *

Documentation Of Treatment *

DISCONTINUED DIALYSIS:

Rank each of the following sections on a scale of 1 to 3:

Limited or no experience
Experienced, but may need review or supervision
Able to function independently *

Dialysis Catheter *

Fistula / Vein Graft *

Return Of Blood *

Post Treatment Access Care *

Equipment Clean Up *

Sterilization Procedures *

MISCELLANEOUS:

Rank each of the following sections on a scale of 1 to 3:

Limited or no experience
Experienced, but may need review or supervision
Able to function independently *

Care Of Immuno- suppressed Patient *

Care Of Patient With Aids *

Isolation Techniques *

Assessment Of Wound Healing *

Sterile Dressing Changes *

Phlebotomy / Venous Blood Draw *

Patient Education regarding Organ & Tissue Donation *

AGE-SPECIFIC EXPERIENCE:

Rank each of the following sections on a scale of 1 to 3:

Limited or no experience
Experienced, but may need review or supervision
Able to function independently *

Newborn / neonate (birth-30 days) *

Infant (31 days-1 year) *

Toddler (ages 2-3 years) *

Preschool (ages 4-5 years) *

School age (ages 6-12 years) *

Adolescent (ages 13-21 years) *

Young adult (ages 22-39 years) *

Adult (ages 40-64 years) *

Older adult (ages 65-79 years) *

Elderly (ages 80+ years) *