Category
Departmental
Category
Nursing Services

Dialysis Policy and Procedure Manual

The Dialysis Policy and Procedure Manual is cross referenced to the Joint Commission Comprehensive Accreditation Manual for Ambulatory Care, CMS Conditions for Coverage for End-Stage Renal Disease Facilities and AAMI standards. The Dialysis Policy and Procedure Manual includes over 300 policies, procedures and forms in an easy-to-customize Word format that meet the latest standards and regulations.

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Table of Contents - TJC standards, CMS regulationsCopyrightDisclaimerApproval/Signature SheetIntroduction
SECTION 03 - HUMAN RESOURCES
3001 - Staff Qualifications and Competency3002 - Overview of Dialysis Services Facility Staff Qualifications3003 - Position Description/Performance Evaluation - Dialysis Services Medical Director3004 - Performance Evaluation - Population-Specific/Age-Related Competency - Dialysis Services Medical Director3005 - Annual Competency Clinical Skills Assessment - Dialysis Services Medical Director3006 - Position Description/Performance Evaluation - Dialysis Services Nurse Manager3007 - Performance Evaluation - Population-Specific/Age-Related Competency - Dialysis Services Nurse Manager3008 - Annual Competency Clinical Skills Assessment - Dialysis Services Nurse Manager3009 - Position Description/Performance Evaluation - Dialysis Services Charge Nurse3010 - Performance Evaluation - Population-Specific/Age-Related Competency - Dialysis Services Charge Nurse3011 - Annual Competency Clinical Skills Assessment - Dialysis Services Charge Nurse3012 - Position Description/Performance Evaluation - Dialysis Services Staff RN3013 - Performance Evaluation - Population-Specific/Age-Related Competency - Dialysis Services Staff RN3014 - Annual Competency Clinical Skills Assessment - Dialysis Services Staff RN3015 - Position Description/Performance Evaluation - Dialysis Services Registered Dietitian3016 - Performance Evaluation - Population-Specific/Age-Related Competency - Dialysis Services Registered Dietitian3017 - Annual Competency Clinical Skills Assessment - Dialysis Services Registered Dietitian3018 - Position Description/Performance Evaluation - Dialysis Services Licensed Clinical Social Worker3019 - Performance Evaluation - Population-Specific/Age-Related Competency - Dialysis Services Licensed Clinical Social Worker3020 - Annual Competency Clinical Skills Assessment - Dialysis Services Licensed Clinical Social Worker3021 - Position Description/Performance Evaluation - Dialysis Services Patient Care Technician3022 - Performance Evaluation - Population-Specific/Age-Related Competency - Dialysis Services Patient Care Technician3023 - Annual Competency Clinical Skills Assessment - Dialysis Services Patient Care Technician3024 - Dialysis Services Patient Care Technician Requirements3025 - Annual Competency - Joint Commission National Patient Safety Goals and Universal Protocol3026 - BCLS Resuscitation Certification3027 - Restraint and Seclusion - Staff Training and Competency Requirements3028 - Restraint Application/Removal Competency Checklist - Restraint for Management of Nonviolent, Non-Self Destructive Behavior3029 - New Employee Orientation3030 - Dialysis Services Orientation Checklist3031 - Skills Orientation Checklist - Dialysis Services3032 - Contract Services Staff Checklist - Dialysis Services3033 - Staff Education and Training3034 - Education Profiles3035 - Performance Evaluations3036 - Dress Code3037 - Employee Health Record3038 - On-the-Job (Workers' Compensation) Injured Employee Processing3039 - Return to Work After Illness/Injury Policy3040 - Physician's Certification of Illness - Sample Form3041 - Attendance and Tardiness3042 - Disciplinary Action3043 - Employee Photo Identification Badge3044 - Employee Requests for Time Off3045 - Harassment, Sexual (Either Sex)3046 - Holiday Policy3047 - Meal Periods and Rest Breaks3048 - Personal Telephone Calls To/From Employees3049 - Sick Leave Policy3050 - Vacation Policy
SECTION 04 - INFECTION PREVENTION AND CONTROL
SECTION 08 - PROVISION OF CARE, TREATMENT AND SERVICES
Admission, Assessment and Reassessment
8001 - Admission Policy8002 - Initial Assessment8003 - Nursing Assessment8004 - Interdisciplinary Team8005 - Comprehensive Assessment8006 - Comprehensive Interdisciplinary Patient Assessment (CIPA) Example Questions - American Nephrology Nurses' Association/National Kidney Foundation8007 - Assessment of the Hemodialysis (HD) Treatment Prescription8008 - Assessment of the Peritoneal Dialysis (PD) Treatment Prescription8009 - Drawing Blood Samples to Measure Kt/v8010 - Blood Pressure and Fluid Management Needs8011 - Laboratory Profile8012 - Immunization History8013 - Patient Medication Information/Reconciliation8014 - Patient Medication Information/Reconciliation Form8015 - Anemia Management8016 - Erythropoiesis-Stimulating Agents (ESAs)8017 - Mineral Metabolism - Evaluation of Factors Associated with Renal Bone Disease8018 - Nutritional Assessment8019 - Nutritional Plan of Care8020 - Psychosocial Assessment and Plan of Care8021 - Community Resources List8022 - Assessment and Maintenance of Dialysis Access8023 - Patient Preferences for Modality and Self-Care8024 - Evaluation for Transplant Referral8025 - Evaluation of Family/Support Systems8026 - Evaluation for Referral to Rehabilitation Services8027 - Fall Prevention8028 - Assessment of Adult Patient/Resident at Risk for Falls Form8029 - Care of the Latex Sensitive Patient8030 - Latex Allergy Assessment Form8031 - Pain Assessment, Reassessment and Management8032 - Pain Scale, Admission Pain History8033 - Pain Scale Examples8034 - Reassessment8035 - Patient Plan of Care8036 - Patients Seen by a Practitioner During Dialysis Treatments8037 - Transplantation Referral Tracking8038 - Education of Patient and Family8039 - Dialysis Nursing Responsibilities8040 - Checking of Safety Features Prior to Dialysis Treatment8041 - Pre-Treatment Checklist8042 - Dialysis Machine Preassessment8043 - Dialyzer Preparation8044 - Pre-Dialysis Nursing Assessment8045 - Assessing Patency of Arteriovenous Fistula/Graft8046 - Intradialytic Assessment and Monitoring8047 - Care of Patient Post-Hemodialysis8048 - Patient Condition Report8049 - Calculating Fluid Replacement8050 - Measurement of Recirculation in the Vascular Access8051 - Patient Identification for Clinical Care and Treatment8052 - Hand-Off Communication
Involuntary Discharge Procedure