Dialysis
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rayyanjamal000Dialysis
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rayyanjamal000Hospital Name & Logo
DIALYSIS TECHNICIANS
COMPETENCY ASSESSMENT
Candidates Name: Employee Code:
Current Designation:
Date of Birth: Date of Joining:
Initial Assessment/ Review:
Date of Application: Last review date (if any):
Qualifications: Year(s) Duration University/ Institute
Total Experience (in years):
Criteria:
Education / Training :10+2 preferably with Diploma in Dialysis Technology MLT/ certificate course in
Dialysis Technology
Experience: Preferably 2+ years of experience as a fully qualified Dialysis Technician)
Category 1 - Can perform independently (fully Competent) C1
Category 2 - Under Supervision C2
To be filled in by To be filled in by HOD
Applicant
(Please Tick whichever
is applicable)
S. No Levels C1 C2 Recommendation Remarks
(Yes/No)
1 SAFETY PRACTICE TO MIMIMIZE RISK TO PATIENTS, SELF AND OTHERS
a. Practice in accordance with ethical standards, legal
statutes and published standards of practice
b. Practice universal precautions
c. Practice aseptic technique
d. BLS/ CPR Trained
e. Recognize and respond appropriately to
unexpected and emergency situations
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f. Apply the standards of the Workplace Hazardous
Materials Information System in the handling, use,
storage and disposal of materials
2 EXPERIENCE
a. Demonstrate experience in
Acute/Inpatient Dialysis
b. Demonstrate experience in Chronic/
Outpatient Dialysis
c. Demonstrate experience in Continuous Renal
Replacement Therapy
d. Demonstrate experience in Plasma Exchange
e. Demonstrate experience in Immunoadsorption
f. Demonstrate experience in Endotoxin Filtration
g. Demonstrate experience in Charcoal
Hemoadsorption
h. Demonstrate experience in Peritoneal Dialysis
i. Demonstrate experience in Pediatric Dialysis
j. Demonstrate experience in Age Specific Dialysis
Skills:
Adolescents 12‐18 years
Young Adults 18‐39 years
Middle Adults 39‐64 years
Older Adults 64+ years
3 PATIENT PREPARATION
a. Verify patient’s physiological preparation
b. Explain the impact of patient preparation on the
procedure and quantitative data
c. Explain the procedure, patient involvement,
length of procedure to the patient and family
d. Verify informed consent, if appropriate
e. Select and organize the supplies necessary to
perform the procedure
f. Select appropriate instrument and parameters
for the procedure
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4 INITIATION AND MONITORING OF DIALYSIS TREATMENT
a. Able to perform Bicarbonate Dialysate
b. Able to perform Conductivity Testing
c. Able to perform Priming Dialyzer
d. Able to check for Machine/Alarm Settings
e. Able to perform Vascular Access
f. Able to collect Blood Specimens
g. Able to do machine set up /Anticoagulant
5 PATIENT ASSESSMENT DURING DIALYSIS
a. Able to assess volume status
b. Able to assess vascular access function
c. Able to assess blood flow rate
d. Able to evaluate
subjective response to treatment
e. Able to evaluate anticoagulation
f. Able to assess integrity of AV Fistula/ AV Graft
during dialysis
g. Able to assess integrity of Tunneled/Non‐
Tunneled catheter
h. Able to evaluate overloading of fluid
i. Able to check for Filter Blood Leak
j. Able to do ultrafiltration calculation
k. Able to do sequential ultrafiltration/PUF
l. Able to evaluate patient complications during
dialysis:
Hypo or Hypertension
Disequilibrium syndrome
Hyperkalemia
Seizures
Muscle Cramps
Pyrogenic Reaction
Hemolysis
Air Embolus
Chest Pain
Anemia
Pericarditis
Cardiopulmonary Arrest
m. Able to do documentation of dialysis treatment
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6 MACHINE PROCEDURES
a. Able to check Bypass
b. Able to check Opt. Detector
c. Able to check Blood System
d. Able to check Venous Pressure
e. Able to check Level Detector
f. Able to check Display
g. Able to check Arterial Pressure
h. Able to check DIASAFE Plus
i. Able to check Battery
j. Able to check Blood Leak
k. Able to check Temperature
l. Able to check Negative Pressure
m. Able to check Positive Pressure
n. Able to check UF Function
o. Able to check Conductivity
7 DIALYSIS DISCONTINUATION
a. Able to check integrity of Fistula / Vein Graft
after discontinuation of dialysis
b. Able to check return of blood during
discontinuation of dialysis
c. Able to perform post treatment Access Care
d. Able to do Equipment Cleaning Post Dialysis
e. Able to do Sterilization Procedures of machine
Post Dialysis
8 REUSE OF DIALYSIS
a. If case of reuse of dialysis on same patient,
he/she able to assess for Pyrogenic Reaction
9 HANDLING OF RO SYSTEM
a. Able to handle leakage in system
b. Able to handle Sand and Charcoal Filter Timer
c. Able to flush Water Inlet and Sterile Filter
d. Able to check Salt Levels
e. Able to handle all types of Manometers
f. Able to handle Permeate Loop Back- Pressure
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g. Able to perform Hardness Test (Pre and Post
Softeners)
h. Able to perform Chloride Test (Pre and Post-
Charcoal Filters)
10 EQUIPMENT MAINTENANCE
a. Able to do upkeep of equipment’s
b. Able to do inventory management
c. Able to maintain equipment uptime and
minimize downtime
Note: If recommendations for competencies granted by the HOD are modified, declined or are withdrawn the specific
condition and its reasons must be stated in the space provided below.
HOD’s Remarks:
I have reviewed the request for competency assessment mentioned above and my remarks are:
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Applicants Endorsement:
I agree to abide by the policy and guidelines applicable to Himalayan Hospital (A constitute unit of SRHU).
I acknowledge that the facts provided above are true to the best of my knowledge and if found to be false, I
stand to lose all privileges and be subject to proceedings as deemed appropriate by the management of HH.
I am prepared to subject my clinical work to quality assurance mechanisms including clinical audit and peer review
processes on an ongoing basis
Applicant’s Name:
Signature: Date:
REVIEWER (HOD)
Name:
Signature:
Date:
MEDICAL ADMINISTRATION (MEDICAL SUPERINTENDENT)
Name:
Signature:
Date: