How does your facility handle training for CRRT? Who is responsible for the set up, take off and hourly balances? Do you ever change the rates? Do you have parameters?
Who provides the training? Are all staff trained for CRRT?
Right now what we are doing isn't working. We want to approach management with some ideas of how other facilities handle the training and ongoing competencies. Currently our PICU nurse gets about 10 mins of review with the previous shift's nurse on how to fill in the paperwork. The dialysis services have been contracted out and the experienced dialysis nurses have moved on to other things. I'm one of those who moved on only to make the move to PICU. The new dialysis staff freely admit to being new grads and are not inspiring a great deal of confidence.
Our PICU is combined with an adult SICU. We do Adults before children. Orientation is a 8hour beginner class with a dialysis nurse and then 8hours of being precepted on a patient with CRRT. Down the road there is a 4hour advanced CRRT class. We also have a competency.
Our most experienced nurses take care of our children on CRRT. Often the children are 2:1's if they are real sick.
The dialysis sets up and the PICU nurse does all the hourly needs. Our nephrologist writes orders for the net loss and the bath and other dialysis orders. If need be we take off during the night, we are all trained to rinse back and disconnect.
Last edit by Clg03280 on May 2, '07