Dialysis Treatment Monitoring Checklist
Comprehensive hemodialysis treatment monitoring including pre-treatment assessment, intradialytic vital signs and parameters, and post-treatment evaluation.
- Industry: Healthcare
- Frequency: Every dialysis treatment
- Estimated Time: Throughout treatment
- Role: Dialysis Nurse/Tech
- Total Items: 33
- Compliance: CMS ESRD CoP 42 CFR 494, KDOQI Guidelines, AAMI Standards
Pre-Treatment Assessment
Before initiating dialysis
- Patient identified using two identifiers?
- Pre-treatment weight obtained?
- Pre-treatment vital signs obtained?
- Vascular access assessed?
- Access patent with good flow?
- Patient symptoms assessed?
- Dialysis medications reviewed?
Machine Setup
Dialysis machine preparation
- Machine pre-test completed?
- Correct dialyzer for patient?
- Dialysate prescription verified?
- UF goal set per order?
- Blood flow rate set per order?
Intradialytic Monitoring
During treatment monitoring
- Vital signs monitored every 30 minutes?
- Access site monitored continuously?
- Patient comfort assessed?
- Machine alarms responded to appropriately?
- No complications (cramping, hypotension)?
Post-Treatment Evaluation
After dialysis completion
- Prescribed treatment time completed?
- Post-treatment vital signs obtained?
- Post-treatment weight obtained?
- Access site hemostasis achieved?
- Kt/V or URR documented?
- Patient stable for discharge?
Pre-Assessment Information
Initial assessment documentation and patient/facility identification
- Assessor Name / Credentials
- Assessment Date
- Department / Unit
- Assessment Type (Routine/Annual/Complaint)
- Previous assessment findings reviewed?
Infection Prevention & Control
Verify infection control practices per CDC and Joint Commission standards
- Hand hygiene compliance observed?
- Appropriate PPE available and properly used?
- Isolation precautions properly implemented?
- Sharps containers available and not overfilled?
- High-touch surfaces properly disinfected?
Related Healthcare Checklists
- Hand Hygiene Compliance
- Medication Safety Check
- Surgical Safety Checklist
- Fall Prevention Assessment
- Joint Commission Readiness
- HIPAA Compliance Audit