|
Hemodialysis Staff Training (RN and Patient Care Technician)
HDS offers a comprehensive Hemodialysis Staff Training program that utilizes a customized manual developed to be used with a series of specially designed power point presentations. Power point allows students to visualize many of the concepts and procedures discussed. The combination of the print material and the presentations provides reinforcement-an important component of learning.
To obtain as much as possible from the program, the student should become familiar with and understand the following:
1. OBJECTIVES.
Judging the quality of a learning experience is difficult; however, a test of quality can be made by determining whether or not it has brought about the desired change in a learner's behavior. Because of this, learning objectives precede each section of material. Clear and precise objectives make evaluation possible, thus, the quality and effectiveness of the learning experience can be determined. The two types of objectives utilized in this program are cognitive and affective.
Cognitive objectives are concerned with knowledge and comprehension. These objectives indicate what the student should be able to do upon completion of the specific section (e.g., identify, define, explain, etc.). The affective objective is concerned with how the student should organize, conceptualize, value, and respond to specific situations upon completion of the section. Together, these objectives give precise direction regarding the subject content and the attitude which you are expected to develop.
2. SELF-EVALUATION.
Questions related to the material follow each section. By completing the self-evaluations the student will know whether or not he/she understood the material accurately. The answers to the self-evaluations will be provided during class.
3. ASSESSMENT.
Formal assessment is accomplished by (1) classroom power point presentation and student participation, (2) written examinations and situational tests, and (3) instructor evaluation.
Written examinations and situational tests are given periodically during the training program. These help the instructor and the student determine his/her ability to make the proper application of the material learned.
A final evaluation by the instructor may be verbal as well as written: It will assess the student's performance during the training period.
4. PROCESS.
First, the student is to read and study the written material. Second, in the class room the instructor will present to the student the power point segment relating to the written material.
5. SUCCESSFUL COMPLETION OF THE PROGRAM.
The student will complete a total of 80 hours of classroom study - 64 hours the first two weeks and 16 hours during the eight week clinical training. At the end of the week in the clinical area, the preceptor will complete a Weekly Preceptor Evaluation, during which the student will have an opportunity to comment on his/her progress. Upon the completion of the eight week clinical training, the preceptor will complete the Hemodialysis Skills Competency Checklist.
On week eight of the clinical training, the instructor will meet with the student for a minimum of two hours to a conduct a verbal evaluation of the didactic and clinical lessons covered over the course of training. Final completion of this course will include successful demonstration documented on the Skill Competency Checklist by the preceptor and a passing score on the written final exam of 75% or better.
In addition to the training manual and materials, HDS can conduct the 80 hour didactic training on site at the Client's location of choice; however, to insure compliance with training objectives, the HDS instructor will conduct a two day workshop with the preceptor(s) chosen to work with the student(s) during the clinical rotation. During this workshop the preceptors will participate in a condensed version of the training program designed to ensure that the cognitive and affective objectives outlined in the training are met during the clinical rotation.
Advanced Dialysis Workshop
HDS offers an eight hour advanced dialysis workshop designed to enhance the knowledge base of the experienced dialysis nurse and patient care technician. Topics covered during the workshop include:
Anatomy and Physiology of the Kidney
- Excretory Functions
- Endocrine Functions
- Fluid and Electrolyte Management
- Acid Base Balance
Chronic Kidney Disease
- Overview
- Frequent Co-morbidities
- Classifications and Stages of Chronic Renal Disease
Hemodialysis
- Chemical Principles of Dialysis
- Dialysate
- Fluid Removal
- The Dialysis Machine
Assessment of the Dialysis Patient
- Weight
- Blood Pressure
- Pulse
- Respiration
- Temperature
- Communication
- Factors that Influence a Patient's Response to Hemodialysis
Role of Sodium in Hemodialysis
- Limitations of Fluid Removal
The Influence of Dialysis on the Determinants of Blood Pressure
- Blood Volume
- Decreasing Blood Osmolality
- Total Peripheral Resistance
- Myocardial Contractility
Vascular Access
- DOQI Guidelines
- Complications
- Economic Impact
- Instructions to Patients
Water Treatment Preparation
- Water Quality Requirements
- Equipment Requirements
- Disinfection Systems
Common Risks and Side Effects Associated with Dialysis
- Hypotension
- Dialysis Disequilibrium
- Nausea and Vomiting
- Cramping
- Headaches
- Arrhythmias
- Chest Pain
- Fever and Chills
- Pruritis
- Restlessness and Insomnia
- Complications of anticoagulant
- Anaphylactic Reactions
- Metabolic Acidosis
- Hypoxemia
- Air Embolism
- Hemolysis
The Heart
- Anatomy and Physiology
- Conduction System
- Circulatory System
Clinical Management of the Dialysis Patient
- Multidisciplinary Care Team
- Long Term Care Plan
- Patient Care Plan
- Criteria for Stable versus Unstable
Continuous Quality Improvement
- Purpose
- Learning Urea Kinetics
- Medical Record Model
Infection Control Precautions for Dialysis Centers
- Universal Precautions
- Prevention of the Spread of Blood Borne Diseases
- VRE and MRSA Precautions for Dialysis Centers
Continuous Quality Improvement Program
HDS provides a well-defined, organized Continuous Quality Improvement Program (CQI) designed not only to monitor but improve on standards of patient care as well as the overall operational efficiencies of a dialysis program. The process includes systematically examining patient care, identifying deficiencies, searching for a probable cause, generating and choosing a solution, implementing the solution and then reexamining the case. The commitment of the facility leadership is essential to the success of a continuous quality improvement program. Therefore, HDS has developed a program that is comprehensive, yet flexible enough to permit innovation and variation in assessment approaches. It uses computerized tools to enhance the ease of applying the CQI process.
The software tools included with this program:
- Data collection tool format
This template is designed to allow the user to input summary data for pre-determined variables that have been defined as problems or causes related to a problem. The software will tally the total for each input variable. From this summary data problems and causes related to a specific problem can be scored.
- Templates for Pareto and stratification graphs
Pareto charts are graphs that visually display the most vital factors that are the cause of the problem.This software enables the user to input the most vital factors influencing a problem into a chart from which the factors are prioritize and displayed in a graphic format.
Stratification is the separation of data into categories, which are then displayed as a bar graph. Data that is related or in a given group share common characteristics are inputted into a chart format from which they can be sorted. By sorting the input variables the root cause of the problem can be discovered and major differences between the groups noted.
- Template for a fishbone analysis
A template can be printed upon which cause and effect variables can be displayed for analysis.
- Samples of flowcharts. Included on the computer disk are samples of flow charts for the following:
- Assessing Percentage of Urea Reduction
- Access Management Pathway
- Adequacy of Peritoneal Dialysis
- A-V Graft Thrombosis/Stenosis
- Renal Osteodystrophy
- Iron Management
|
