Hemodialysis Clinical for LPN NSNN 7510

As a healthcare practitioner, you are expected to follow professional standards of practice throughout all SN programs and courses. In this course, you will have opportunities to use the processes of critical thinking, systematic inquiry, communication, collaboration, leadership, professionalism, and clinical decision-making. Upon successful completion of this course, you should be able to:

Communication:

• Utilize a phenomenological approach in order to interpret a client and their family's experience of hemodialysis.
• Use effective communication techniques to collaborate with registered nurse when caring for hemodialysis clients.
• Describe possible strategies to improve the efficacy of hemodialysis.

Assessment:

• Interpret common hemodialysis laboratory, radiological and diagnostic investigations and respond appropriately.
• Apply the clinical decision-making process to assess a client's stable and predictable states of health during pre-, intra- and post-dialysis and to determine eligibility of caring for the patient.
• Perform a comprehensive assessment of a hemodialysis client.
• Assess the clinical data and consult with the nephrology team about the adequacy of dialysis.

Practice

• Apply the LPN Scope of Practice and CLPNBC and BCCNP (BC College of Nursing Professionals) standards of practice for LPN including the limitations and conditions to care for hemodialysis clients with stable and predictable states of health when a registered nurse is available in a hemodialysis setting.
• Program a hemodialysis machine according to the client's prescription.
• Perform the hemodialysis using individualized dialysis prescriptions and orders utilizing a team approach with registered nurses.
• Utilize principles of aseptic technique and venipuncture in initiating, managing, and discontinuing hemodialysis.
• Manage, access and maintain central venous lines and central venous access devices used specifically for hemodialysis.
• Identify, describe and administer solutions and substances and schedule I, II, III drugs as part of hemodialysis procedures, or as otherwise governed by your local health authority.
• Apply clinical decision-making skills to respond to and manage changes in a client's health pre-, intra- and post-dialysis.
• Identify and manage common complications of hemodialysis and immediately report to and work together in team approach with the registered nurse and other renal care team members when client's complications are outside the LPN scope of practice (unstable).
• Perform multi-disciplinary team care for complex hemodialysis client by working collaboratively.

Effective as of Spring/Summer 2023