NURSING

RECRUITMENT
SKILLS
CHECKLIST

KING FAHD ARMED FORCES

HOSPITAL
P.O. Box 9862, JEDDAH 21159
KINGDOM OF SAUDI ARABIA
Tel. # +966-2-6653000
Fax # +966-2-6693490

NAME

CATHERINE P. REALIZA

POSITION APPLIED FOR :

DATE :

JUNE 27, 2013

HEMODIALYSIS STAFF NURSE

HEMODIALYSIS
AIM OF CHECKLIST:
When completing the following, please remember that this checklist is used by the reviewer to access
your overall competency and suitability to a particular area.
Please feel free to elaborate on any area you feel necessary to give more comprehensive overview to the
reviewer.
EXPERIENCE:
My entire experience as a nurse is being focused on hemodialysis considering that right after I received
my license as a registered nurse in the Philippines. I already have an instinct to find as slot for me to be
enrolled at Asia Renal Care which is now known as Fresenius Medical Care for a Hemodialysis Training. I
took and passed their exam so I started the training. I completed it for two month,s then I took the
Accreditation Exam to be a Certified Renal Nurse. I passed the exam and then I applied in ZaNorte
Medical Center in Sicayab, Dipolog City. Luckily, I am directly assigned in the Hemodialysis Unit from
September 24, 2010 up to the present.
I could say that it is my passion to be a hemodialysis nurse and I want to best in the world there is. I
have encountered patient up to their tomb. We cater patients with different disease conditions including
Diabetes Mellitus, Hypertension, Rejected kidney transplant, Urates Nephropathy, Acute Kidney disease
due to kidney injury, Chronic Glumerolunephhritis, Multi organ failure, unstable cardiac conditions,
heparin free hemodialysis, also pre and post operative patients who undergo hemodialysis. I have wide
experience in the 4 walls of our clinic. We also assist insertion of Internal Jugular and Femoral Catheter.
My work shift is from 6am to 2 pm and 12noon to 8 pm from Monday to Friday and we also cater
Saturdays and Sundays for emergency cases without overtime pay. In a week or two I have straight 6 am
to 2pm duties from Monday or Friday otherwise 12 noon to 8 pm. During the shift, we take care of
patients with mixed conditions. Mostly, when there is a critical patient who is admitted we prioritize them
in the morning session. We dont categorize patient according to their conditions but they are given slots
available. Some patients have 3 times hemodialysis on Monday, Wednesday and Friday. Some have two
sessions per week Monday and Thursday, Tuesday and Friday also Tuesday and Thursday. We have 38 a
census of 38 patients. We have six
2 years and 11 months of solid exposure is educational, fun and challenging. My life as a nurse is devoted
to hemodialysis and I guess if given the chance to be exposed to King Fahad Armed Forces Forces
Hospital I would even be more challenged to face whatever there is. If not now, may be soon.

Experience Key:
1
2
3
4

None
Need practice
Well skilled, but no experience in the last year
Well skilled, current experience within the past 12 months

EXPERIENCE
1 2
3
4

COMMENT

I. PERFORM THESE PROCEDURES:

Initiation of dialysis

Set up and Priming

As soon as the patient is

diagnosed by the Nephrologist to
have Acute or Chronic Kidney
Disease and with High Creatinine
and Blood Urea Nitrogen Levels.
The staff nurses are informed
that there is a possibility for an
incoming patient to be inserted
with Intra Jugular Catheter.
The significant other (family
member) is being called up from
the ward and is counseled by the
nurse on duty regarding
hemodialysis. First, assessment
is being done considering the
beneficence of the procedure to
the patient. Nurses go to the ICU
or any wards where the patient
is assigned to examine the
condition of the patient. The age
is being looked after, the
financial capacity of the family
to sustain hemodialysis or to
have a kidney transplant, then
the readiness of the whole
family.
Second,
patient
education
is
being
given
considering the advantages and
disadvantages of hemodialysis
including a touch of kidney
transplant. Third, the estimated
cost of hemodialysis is being
revealed as well as the possible
schedule available. Prior to
initiation there is a consent for
intrajugular catheter insertion
as soon as the family and the
patient is okay to proceed with
hemodialysis. Prior to insertion
the HBSAg and HCV results are
being taken to know if the
patient is infectious or noninfectious, laboratory results are
also checked especially cbc to
know if there is a need to
transfuse blood. When results
are available, the nurse on the
ward is being asked to prepare
materials or blood for the
procedure. The clinic is set to be
the minor operating room with
materials prepared aseptically.
Patients
are
now
being
transported to the hemodialysis
clinic.
Prehemodialysis
assessment is being done.
Considering the vital signs,
including weight. The Surgeon
and Nephrologist are now ready
and insertion is initiated. After it
is successfully done hemodialysis
is being initiated. Ultrafiltration
Goal , Blood Flow Rate, Heparin
Needs or Bolus is being asked
from the Nephrologist. The
patient is now on hemodialysis
being strictly monitored.

EXPERIENCE
1 2
3
4
Kidney transplant
Unstable cardiac conditions
Unstable hypotension
Hypertension
Pediatric haemodialysis
- acute paediatric haemodalysis
- acute pediatric haemodialysis in critical care
area
- routine chronic pediatric haemodialysis
Heparin free haemodialysis
Pre-Post operative haemodialysis patient

COMMENT

III. GENERAL:
Isolation principles in haemodialysis patient with
infectious disease.
Universal Precautions
Interpretation of Laboratory Values
Assessment of patient pre, during and post
dialysis
UKM Model
Re-circulation studies
URR

IV. ASSIST WITH:

Line Insertion Procedure

V. FAMILIARITY WITH EQUIPMENT:

Cobe Centry 3
Integra machine
Prisma machine
Other dialysis machines (specify)
Computers

Fresenius 8S machines

Spectra Machine

VI. GENERAL RESPONSIBILITIES:

Primary Nursing
Charge Duties
Patient Teaching
New Employee Preceptors
In-service Presentation
Quality Improvement

VII. CAPD:
- Adult patients
- Pediatric patients
CAPD patient Training Programmes
- Adult patients
- Pediatric patients
CAPD Home Assessment
CAPD Discharge follow up home visits
CAPD outpatient clinics
Nursing Management of CAPD complications

EXPERIENCE
1 2
3
4
Admixing & administration of intraperitoneal
medications
Pre and post operative care of CAPD catheter
Baxter Cycle Machine
Fresenius ANDY System
Baxter Freeline Solo System
Other CAPD System (specify)
CAPD patient assessment
PET testing

COMMENT

VIII. Your current Haemodialysis experience is in a unit that is:

(1).
(2).
(3).
(4).
(5).

Freestanding ___________________ or Hospital based ____

Number of stations 6
Average number of patients dialyzed in 24 hours: acute 1-2 chronic 17
Number of shifts per day 3
Average nurse to patient ratio: 1 Nurse to 3 patients per session

Thank you for completing the above. Demonstration of skills will be expected during your 90 days
probationary period.
Inability to demonstrate skills stated, may result in termination during the
probationary period.

CATHERINE P. REALIZA
Name / Signature
License Number : 0615445