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    00.00 Continuous Renal Replacement Therapy Handover Checklist and Report

    Uploaded by

    alex
    This document provides a checklist and report for the handover of a patient on continuous renal replacement therapy (CRRT). The checklist includes items to inspect such as the circuit integrity, any clots present, de-airation chamber level, filter pressures, anticoagulation levels, emergency tray contents, physician orders, patient hemodynamics, fluid balances, circuit issues from the previous shift, and available supplies. The report section documents specific parameters like flow rates, solutions used, and fluid balance goals to ensure safe and effective continuation of CRRT between shifts.

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    00.00 Continuous Renal Replacement Therapy Handover Checklist and Report

    Uploaded by

    alex
    134 views1 page
    This document provides a checklist and report for the handover of a patient on continuous renal replacement therapy (CRRT). The checklist includes items to inspect such as the circuit integrity, any clots present, de-airation chamber level, filter pressures, anticoagulation levels, emergency tray contents, physician orders, patient hemodynamics, fluid balances, circuit issues from the previous shift, and available supplies. The report section documents specific parameters like flow rates, solutions used, and fluid balance goals to ensure safe and effective continuation of CRRT between shifts.

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    This document provides a checklist and report for the handover of a patient on continuous renal replacement therapy (CRRT). The checklist includes items to inspect such as the circuit integrity, any clots present, de-airation chamber level, filter pressures, anticoagulation levels, emergency tray contents, physician orders, patient hemodynamics, fluid balances, circuit issues from the previous shift, and available supplies. The report section documents specific parameters like flow rates, solutions used, and fluid balance goals to ensure safe and effective continuation of CRRT between shifts.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    134 views1 page

    00.00 Continuous Renal Replacement Therapy Handover Checklist and Report

    Uploaded by

    alex
    This document provides a checklist and report for the handover of a patient on continuous renal replacement therapy (CRRT). The checklist includes items to inspect such as the circuit integrity, any clots present, de-airation chamber level, filter pressures, anticoagulation levels, emergency tray contents, physician orders, patient hemodynamics, fluid balances, circuit issues from the previous shift, and available supplies. The report section documents specific parameters like flow rates, solutions used, and fluid balance goals to ensure safe and effective continuation of CRRT between shifts.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    Continuous Renal Replacement Therapy

    Handover Checklist and Report

    1. Circuit integrity inspection: Report for Rounds:


    … Connections secure
    † Cannulation site inspected CRRT day # ________________
    † Lines secured
    † Bags free hanging and lines straight Blood Flow Rate: _____________
    † Effluent free of blood
    † Date of last circuit change noted Anticoagulant: Citrate or Heparin
    † Circuit expiry date verified (circle one)
    † Bag expiry dates/times verified

    2. Circuit clots: Anticoagulant rate: ______________ Emergency Tray


    … Location Contents
    … Size I.Ca / ACT level : _______________
    (circle one) • 50 mL bag of
    3. De-airation chamber: Normal Saline with
    … Level within range Replacement Solution: ________________________ 5 units of Heparin
    ____________________________________ per mL.
    4. Filter pressures: ____________________________________
    … Trends ______________________________ • 2 X fluid transfer
    … Change(s) over shift set
    Replacement Solution Rate: _____________
    5. Anticoagulation:
    • Clamps X 2
    … ACT or ionized Calcium within Dialysis Solution: _____________________________
    prescribed range ____________________________________ • 2 X 5 mL syringes
    … Review trends and changes to infusion ______________________________ for aspirating blood
    rates
    Dialysis Solution Rate: _____________ • 10 mL sterile
    6. Emergency tray:
    … Contents reviewed and not outdated Normal Saline
    Clots in Circuit: ______________________________ prefilled syringes
    7. Physician order’s reviewed ____________________________________ X2
    ____________________________________
    8. Patient hemodynamic parameters reviewed ______________________________ • Citrate prefilled
    syringe X2 (enough
    9. Fluid balances reviewed: Goal Balance: _______________________________ to fill each vascath
    … Fluid balance goals lumen)
    … Ins and outs Previous 24 hour balance: _____________________
    • ‘dead end’ caps X
    10. History reviewed: Circuit issues over last 24 hours: ________________ 2
    … Event screen reviewed for issues ____________________________________
    related to run ____________________________________ • 2 % Chlorhexidine
    ______________________________ swabs X 4
    11. Supplies:
    … Supplies available for next shift Last Circuit Change: ___________________________
    … Pharmacy supplies available for next • Sterile towel and
    shift (and 4 hours into the morning for clean gloves
    night shift)
    Date: ______________ Signatures: outgoing:_______________________
    Time: ______________ receiving: ______________________
    July 2012, May 2013, revised November 2014

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