State Board Approval Date:

April 4, 2002

Implementation Date:

Spring, 2002

Last Updated:

8/10/2004

 

Hemodialysis Patient Care Specialist, TCC

Program Standard and Course Guide

Table Of Contents

General Program Standards

SPECIFIC PROGRAM STANDARDS

Admission Requirements

HED1-02-01

Provisional Program Admissions

HED1-02-04

Program Numbering

HED1-03-02

Program Course Consistency and Sequence

HED1-03-03

Program Course List

Accreditation (Guide)

Appendix A

Suggested Course Sequence (Guide)

Appendix B

Suggested Equipment List (Guide)

Appendix C

ADMISSIONS

Standard Number: HED1-02-01 (Admission Requirements)

Standard Statement

Statewide admission requirements are implemented for the Hemodialysis Patient Care Specialist, Level program.

Explanatory Comment

Admission refers to regular admission into a Technical Certificate of Credit Program.

Statewide program admission requirements consider state and national occupational licensing and certifying requirements, where applicable. The institution develops and implements clearly stated Technical Certificate of Credit program admissions policies and procedures.

Admission requirements are related to the functions of the Hemodialysis Patient Care Specialist, Technical Certificate of Credit program.

Evaluative Criteria

The institution develops, implements, and publishes clearly stated Hemodialysis Patient Care Specialist, Technical Certificate of Credit program admission and advanced placement policies and procedures.

The requirements for admission to the Hemodialysis Patient Care Specialist, Technical Certificate of Credit program are:

a.      18 years of age

b.      High School Diploma or GED

c.       Minimum ASSET Test Scores; Reading, 38, Writing 35, Mathematics 31, Algebra N/A

 

 

Admission of transfer students to the Hemodialysis Patient Care Specialist Program is contingent upon their meeting the following requirements:

a.      Regular admission and good standing at a regionally accredited

b.      Proper completion of application and related procedures

         

Standard Number: HED1-02-04 (Provisional Admission Requirements)

Standard Statement

Statewide provisional admission requirements are implemented for the Hemodialysis Patient Care SpecialistTechnical Certificate of Credit Program.

Explanatory Comment

Provisional admission is granted to qualified students who do not meet the regular admission requirements of the program.

Provisionally admitted students are allowed to take developmental studies courses and/or certain occupational courses as designated in the course sequence standard.

The institution develops, implements, and publishes clearly stated policies and procedures for entry into programs on a provisional basis.

Evaluative Criteria

Provisional admission to the Hemodialysis Patient Care Specialist, Technical Certificate of Credit Program is afforded those students who do not meet program requirements but do meet provisional admission requirements.

The requirements for provisional admission to the Hemodialysis Patient Care Specialist, Technical Certificate of Credit program are:

a.      Attainment of 18 years of age

b.      Achievement of minimum provisional admissions scores on test of Reading 33, Writing 32 and Math 29 as specified in GDTAE document minimum program entrance scores or recommendation by program faculty and designated admissions personnel on the basis of interview and assessment of student potential

c.       Completion of application and related procedures

 

All Hemodialysis Patient Care Specialist, Technical Certificate of Credit program students initially admitted on a provisional basis meet regular admission requirements prior to graduation.

Provisionally admitted students whose English, math, and/or reading achievement levels do not meet regular program admission requirements are required to enroll in developmental studies courses approved by the State Board of Technical and Adult Education.

PROGRAM STRUCTURE

Standard Number:  HED1-03-02 (Program Numbering System)

Standard Statement

A Major Code of HED1 and a CIP Code of 51.1011 are applied to the Hemodialysis Patient Care Specialist, Technical Certificate of Credit Program.

Explanatory Comment

Assignment of a statewide Major Code HED1 and CIP Code 51.1011 to the Technical Certificate of Credit program is the basis from which statewide programmatic consistency is developed.

Each degree/diploma/certificate program complies with the assigned Major Code(s) established in the relevant program-specific standards of the State Board of Technical and Adult Education.

Evaluative Criteria

Each authorized degree/diploma/certificate program is assigned a Major Code and CIP Code.

Each degree/diploma/certificate program having a given Major Code is consistent with all other programs throughout the state that have the same Major Code.

Degree/diploma/certificate programs having multiple specializations are assigned a specialization Major Code for each option.

Standard Number: HED1-03-03 (Program Consistency and Sequence)

Standard Statement

The Hemodialysis Patient Care Specialist, Technical Certificate of Credit program utilizes essential course components consistent with statewide program requirements.  Specific course alphanumeric identification Codes are assigned to each course. 

Explanatory Comment

Programs are assigned an identical Major Code HED1 and are consistent statewide.  Each specific course is assigned an alphanumeric descriptor that serves as a statewide course identification code.

Evaluative Criteria

The Hemodialysis Patient Care Specialist, Technical Certificate of Credit program is assigned a Major Code of HED1, and utilizes essential components designated for the program number statewide. 

Hemodialysis Patient Care Specialist

Hemodialysis Patient Care Specialist, Technical Certificate of Credit

Program Description

 

This program equips health care workers with the skills, knowledge and attitude necessary to succeed in the field of Hemodialysis.

Course Code

General Core Course Name

Class Hours

D.
Lab Hours

P.
Lab/

OBI Hours

Weekly Contact Hours

Credit Hours

AHS 104

Introduction to Health Care

2

0

3

5

3

SCT 100

Microcomputers

1

4

0

5

3

HCT 110

Hemodialysis Patient Care

10

0

0

10

10

HCT 120

Hemodialysis Practicum

2

2

6

10

5

 

Program Final Exit Point

Hemodialysis Patient Care Specialist, Technical Certificate of Credit

21 minimum quarter hours credit required for graduation

APPENDIX A

Accreditation and Certification

The Hemodialysis Patient Care Specialist, Technical Certificate of Credit program must conform to the institutional accreditation requirements of the Council on Occupational Education (COE) or the Southern Association of Colleges and Schools Commission on Colleges (COC).

(additional information, if needed)

APPENDIX B

General Information

Hemodialysis Patient Care Specialist, Technical Certificate of Credit Program Curriculum Model

Suggested Course Sequence

The standard curriculum for Hemodialysis Patient Care Specialist, Technical Certificate of Credit program is set up on the quarter system.  A suggested sequence for the program is given below with area of  specialization .  Technical institutes may implement the Hemodialysis Patient Care Specialist, Technical Certificate of Credit program by using the sequences listed below or by using a locally developed sequence designed to reflect course prerequisites and/or corequisites.

Suggested Sequence

First Quarter

Course Code

Course Name

Class Hours

D.
Lab Hours

P.
Lab/

OBI Hours

Weekly Contact Hours

Credit Hours

AHS 104

Introduction to Health Care

2

0

3

5

3

HCT 110

Hemodialysis Patient Care

10

0

0

10

10

 

TOTAL

12

0

3

15

13

Second Quarter

Course Code

Course Name

Class Hours

D.
Lab Hours

P.
Lab/

OBI Hours

Weekly Contact Hours

Credit Hours

HCT 120

Hemodialysis Practicum

2

2

6

10

5

SCT 100

Microcomputers

1

4

0

5

3

 

TOTAL

3

6

6

15

8

 

APPENDIX C

Hemodialysis Patient Care Specialist, Technical Certificate of Credit

 

Suggested Equipment List

 

(It is recommended that a partnership be formed with a local clinic and for the purpose of using its facility after hours.)

 

Dialyzer

Blood Lines

Normal Saline Solution

Dialysate

Fistula Needles

 

Standard

HCT – 110 Hemodialysis Patient Care

This course will focus on the theoretical and clinical aspects of hemodialysis, including the duties and responsibilities essential to the delivery of patient care in the chronic outpatient setting.

 

Competency Areas

Hours

 

Introduction to Dialysis

Class

10

Kidney A & P

D. Lab

0

Renal Pathophysiology

P. Lab/O.B.I.

0

Renal Nutrition

Credit

10

Psychosocial Aspects of Renal Failure

 

 

Renal Medications

 

 

Infection Control

 

 


Prerequisite:

Program Admission

Corequisite:

 

 

Course Guide

 

 

Competency

After completing this section, the student will:

Hours

 

Class

D.Lab

P.Lab/

O.B.I.

 

Introduction to Dialysis

30

0

0

 

History of Dialysis

Discuss the history of dialysis

 

 

 

 

Patient rights and responsibilities

Explain patient rights and responsibilities

 

 

 

 

Role of ESRD network

Understand the role of the ESRD Network

 

 

 

 

Renal work ethics

Discuss renal work ethics

 

 

 

 

Patient Care Specialist Role

Understand and discuss the role of the patient care specialist

 

 

 

 

Kidney Anatomy and Physiology

5

0

0

 

Normal Kidney Function

Describe normal kidney function

 

 

 

 

Renal Pathophysiology

10

0

0

 

Causes of Renal Failure

Describe the causes of renal failure

 

 

 

 

Renal Failure Effects on Other Body Systems

Understand how renal failure effects other body systems

 

 

 

 

S & S of Uremia

Describe and recognize signs and systems of uremia

 

 

 

 

Treatment Modalities

Describe other treatment modalities for renal failure

 

 

 

 

Renal Nutrition

5

0

0

 

Role of Diet in Renal Therapy

Discuss role of renal dietitian and importance of diet in renal therapy

 

 

 

Psychosocial Aspects of Renal Failure

10

0

0

 

Psychosocial Issues

Discuss the role of renal social worker and discuss the psychosocial issues of renal failure

 

 

 

 

Renal Medications

10

0

0

 

Indications for use

Describe commonly used medications and the indictions for use

 

 

 

 

Administration and Side Effects

Describe how medications are administered and the common side effects

 

 

 

 

Use of Normal Saline

Explain the indications for use of normal saline

 

 

 

 

Heparin and Anticoagulation

Explain the use of heparin and anticoagulation

 

 

 

 

Xylocaine

Explain indications for use

 

 

 

 

Vascular Access

20

0

0

 

Types of Vascular Access

Describe types of vascular access

 

 

 

 

Assessment and Recognition of Complications

Demonstrate and describe correct procedures for cannulation of the vascular access and prevention of complications

 

 

 

 

Cannulation Procedures and Techniques

Demonstrate correct cannulation techniques and procedures

 

 

 

 

Infection Control

10

0

0

 

Asceptic Technique

Demonstrate correction infection control procedures and practices

 

 

 

 

Bloodborne Pathogens

Describe common blood borne pathogens

 

 

 

 

Isolation Procedures

Demonstrate correct procedures to control infections

 

 

 

 

Universal Precautions

Demonstrate correct procedures to control infections

 

 

 

 

 

 

Suggested Resources

Gutch, Stoner and Corea (1999). Hemodialysis for Nurses and Dialysis Personnel.

 

     

Standard

 

HCT 120 – Hemodialysis Practicum

Course Description

 

Competency Areas

Hours

 

Principles of Dialysis

Class

2

Dialyzers, Dialysate & Delivery Systems

D. Lab

2

Water Treatment

P. Lab/O.B.I.

6

Dialyzer Reprocessing

Credit

5

Hemodialysis Procedures

 

 

Peritoneal Dialysis

 

 

Continuous Quality Improvement and Quality Assurance

 

 


Prerequisite:

Provisional admission

Corequisite:

 

 

Course Guide

 

 

Competency

After completing this section, the student will:

Hours

Class

D.Lab

P.Lab/

O.B.I.

Principles of Dialysis

3

3

9

Principles in Practice

Identify and explain the principles of dialysis:  osmosis, diffusion,ultrafiltration and dry weight relate to the overall dialysis practice

 

 

 

Dialyzers, Dialysate and Delivery Systems

3

9

Safe Use of Dialyzers

Describe and demonstrate correct and safe use of dialyzers

 

 

 

Conventional High Efficiency and High Flux Dialysis

Understand and explain the difference between the types of dialyzers

 

 

 

Dialysis Equipment

Demonstrate safe operation of dialysis equipment

 

 

 

Disinfection and Maintenance

Demonstrate correct procedures for equipment disinfection and maintenance

 

 

 

Composition of Dialysate

Describe the composition of dialysate

 

 

 

Effects of Incorrect Dialysate

Understand and explain the effects of incorrect dialysate

 

 

 

Water Treatment

3

3

9

Methods and Equipment

Describe the methods used for water treatment

 

 

 

Bacterial and Endotoxin Monitoring

Describe the rational for bacterial and endotoxin monitoring

 

 

 

Effects of Unsafe Water

Understand and explain the effects of unsafe water treatment

 

 

 

AAMI Standards

Discuss the AAMI standards of water treatment

 

 

 

Safety and Quality Control

Describe correct procedures for safety and quality control

 

 

 

Dialyzer Reprocessing

3

3

9

Principles of Reprocessing

Understand and discuss the principles of reprocessing

 

 

 

AAMI Standards for Reprocessing

Discuss AAMI standards for reprocessing

 

 

 

Safety and Quality Control

Describe correct reprocessing practices and procedures

 

 

 

Hemodialysis Procedures

3

3

9

Pre/Post Assessment

Describe procedures for pre/post assessments

 

 

 

Initiation, Monitoring and Termination of Treatment

Demonstrate and describe the correct procedures and practices for hemodialysis treatment

 

 

 

Documentation

Demonstrate proper documentation practices

 

 

 

Glucose Monitoring and obtaining blood samples

Demonstrate correct procedures for obtaining blood samples

 

 

 

Recognition and Treatment of Complications

Identify and describe complications of dialysis and correct interventions

 

 

 

Peritoneal Dialysis

3

3

9

Principles of PD Indications for Use

Discuss the principles of peritoneal dialysis and describe the correct procedures and practices

 

 

 

Delivery Systems and Techniques

Describe the factors which affect patient outcomes and how practices can positively impact outcomes

 

 

 

Continuous Quality Improvement and Quality Assurance

3

2

6

Measuring Outcomes

Discuss practices used to measure dialysis quality

 

 

 

Practices Affecting Outcomes

Identify correct practices that improve dialysis quality

 

 

 

Suggested Resource

 Gutch, Stoner and Corea (1999). Hemodialysis for Nurses and Dialysis Personnel.

 

Updated: 09/30/04