Dialysis Paper

Topics: Dialysis, Hemodialysis, Chronic kidney disease Pages: 5 (790 words) Published: April 26, 2011
|Dialysis Practice Area |% of Test | |A.  Clinical |50% | |B.  Technical |23% | |C.  Environment |15% | |D.  Role |12% |

Test questions are also categorized by cognitive level, with at least 50% at application level, remainder at knowledge and comprehension levels. (See Test Blueprint grid.)

Activities Performed in Specific Content Areas

The specific activities performed by technicians in each Content Area were identified by the Task Force. These were used as the basis for the job analysis survey, as well as for writing the test questions.

A. Clinical

1. Use aseptic technique for dialysis procedures.
2. Perform cardiopulmonary resuscitation (CPR).
3. Assess vital signs, i.e., blood pressure, temperature, pulse, respirations. 4. Measure patient's weight.
5. Provide basic comfort measures.
6. Report potential or actual adverse patient occurrences. 7. Reinforce patient education.
8. Recognize signs and symptoms of infection.
9. Provide patients with diversional activities.
10. Check patient's pre-dialysis fluid status.
11. Evaluate patient's access pre-dialysis.
12. Administer intradermal lidocaine.
13. Administer topical anesthetic (EMLA).
14. Question patient regarding problems since last treatment. 15. Identify changes in patient's general physical state pre-dialysis. 16. Identify changes in patient's general psychological state pre-dialysis. 17. Set the dialysis machine according to the patient's prescription. 18. Insert dialysis needles into patient's access.

19. Obtain patient's blood samples.
20. Initiate hemodialysis treatment with arteriovenous graft/fistula. 21. Monitor patient during dialysis treatment.
22. Identify significant patient changes during treatment. 23. Follow protocol for treating hypotension.
24. Follow protocol for treating muscle cramps.
25. Follow protocol for administering heparin.
26. Discontinue patient's dialysis treatment with arteriovenous graft/fistula. 27. Apply pressure to access site after removing dialysis access needles. 28. Perform post-dialysis access care.

29. Check patient's post-dialysis fluid status.

B. Technical

1. Maintain safe usage of equipment.
2. Participate in quality control (QC) activities.
3. Use syringes and needles to draw up and administer solutions. 4. Verify effectiveness of the water treatment system.
5. Prepare dialysate solution.
6. Check conductivity, pH, and temperature of dialysate solution. 7. Set equipment alarms.
8. Test equipment alarms.
9. Set up hemodialysis extracorporeal circuit.
10. Set up reprocessed dialyzer.
11. Prepare equipment for dialysis.
12. Monitor dialysis equipment during treatment.
13. Prepare dialyzer for reprocessing per protocol.

C. Environment

1. Disinfect dialysis equipment.
2. Use standard precautions.
3. Use proper body mechanics.
4. Maintain safety of environment.
5. Follow infection control precautions.
6. Use chemicals to disinfect environmental surfaces.
7. Discard disposable supplies post-dialysis.

D. Role

1. Document findings.
2. Maintain appropriate caregiver/client relationships.
3. Participate in quality improvement initiatives, e.g., continuous quality improvement (CQI), DOQI 4. Differentiate roles and responsibilities of care team members. 5. Participate in client rehabilitation activities/initiatives. 6. Use interpersonal communication techniques with clients and significant others. 7. Provide age-appropriate care.

8. Maintain...
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