CHT
September 1990 to August 2004DAVITA － HAYWARD, CAAssembles necessary suppliesPrepares dialysate according to established procedures and the dialysis prescriptionAssembles and prepares the dialysis extracorporeal circuit according to protocol and dialysis prescription.Verifies absence of residual sterilants.Tests monitors and machine functions, including alarms, conductivity and temperature.Sets monitors and alarms according to unit and manufacturer protocols.Obtains and documents pre-dialysis vital signs, weight, and temperature.Inspects a patient's dialysis access.Administers local anesthesia, inserts needles, and initiates dialysis according to unit protocol and patient prescription.Documents treatment parameters and communicates patient condition and issues to Registered Nurse.Administers anticoagulant according to unit protocols and prescription.Measures and adjusts blood flow rates according to established protocols and prescription.Calculates and adjusts fluid removal rates according to established protocols and prescription.Monitors patients and equipment, responds to alarms, and readjusts treatment parameters as defined by established protocols and individual patient requirements.Changes fluid removal rate and patient position, and administers replacement saline as directed by the registered nurse, physician order, or unit protocol.Responds appropriately to dialysis-related emergencies such as hypotensive episodes, needle displacement or infiltration, clotting episodes, blood leaks, air emboli, etc.Initiates cardiopulmonary resuscitation (CPR) in the event of a cardiac arrest.Discontinues dialysis and establishes hemostasis following unit protocol.Inspects, cleans, and dresses access according to unit protocol.Obtains and records post-dialysis vital signs, temperature, and weight.Discards dialysis supplies and sanitizes equipment according to manufacturer and unit protocol.
