Nev. Admin. Code § 449.5745 - Written list concerning knowledge and skills
The supervising nurse or a registered nurse of a facility who qualifies as an instructor for the facility shall complete a written list to determine the knowledge and skills of each dialysis technician in performing the following activities:
1.
Assembling supplies required to provide treatment to a patient of the
facility;
2. Preparing dialysate
according to procedure and dialysis prescription;
3. Assembling and preparing the dialysis
extracorporeal circuit;
4. Securing
the correct dialyzer for the patient;
5. Installing and rinsing the dialyzer and
all required tubing for the dialyzer;
6. Testing monitors and alarms, conductivity
and, if applicable, testing for the presence or absence of residual
sterilants;
7. Setting monitors and
alarms in accordance with the protocols of the facility and the instructions of
the manufacturer of the monitor or alarm;
8. Obtaining predialysis vital signs, weight
and temperature of a patient of the facility in accordance with the protocols
of the facility and, after obtaining that information, notifying the
supervising nurse or registered nurse of all unusual findings;
9. Inspecting the dialysis access of the
patient for patency and, after cannulation is performed and heparin is
administered, initiating dialysis in accordance with the patient's
prescription, observing universal precautions and reporting all unusual
findings to the supervising nurse or registered nurse;
10. Adjusting the rate of the flow of blood
in accordance with the protocols of the facility and the prescription of the
patient;
11. Calculating and
setting the dialysis machine to allow the removal of fluid at a rate
established in accordance with the protocols of the facility and the
prescription of the patient;
12.
Monitoring the patient and equipment during treatment, responding appropriately
to the requirements of the patient and to machine alarms, and reporting all
unusual occurrences to the supervising nurse or registered nurse;
13. Changing the rate of the removal of
fluid, placing the patient in the Trendelenburg position and administering
replacement normal saline as directed by:
(a)
The supervising nurse or registered nurse;
(b) An order of a physician; or
(c) The protocols of the facility;
14. Documenting all findings and
actions in accordance with the protocols of the facility;
15. Describing the appropriate response to:
(a) Emergencies relating to dialysis,
including, without limitation, cardiac or respiratory arrest, needle
displacement or infiltration, clotting, blood leaks or air emboli;
and
(b) Nonmedical emergencies,
including, without limitation, power outages or equipment failures;
16. Discontinuing dialysis and
establishing hemostasis, including:
(a)
Inspecting, cleaning and dressing the dialysis access of the patient in
accordance with the protocols of the facility; and
(b) Reporting all unusual findings or
occurrences to the supervising nurse or registered nurse;
17. Obtaining and recording the temperature,
weight and postdialysis vital signs of the patient and reporting all unusual
findings to the supervising nurse or registered nurse;
18. Discarding supplies and sanitizing the
equipment and treatment chair in accordance with the protocols of the
facility;
19. Communicating all
emotional, medical, psychological or nutritional concerns of the patient to the
supervising nurse or registered nurse;
20. Obtaining current certification in
cardiopulmonary resuscitation; and
21. Maintaining professional conduct, good
communication skills and confidentiality concerning the care of the patients of
the facility.
Notes
NRS 449.0302
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