RRB Dialysis Technician study plan

Draw and label the nephron from memory, naming each segment and its primary transport function

Explain how glomerular filtration rate is determined by net filtration pressure, oncotic pressure and permeability

Trace the renin-angiotensin-aldosterone and ADH pathways and state the effect of each on sodium, water and potassium handling

Classify the causes of acute kidney injury as prerenal, intrinsic and postrenal, and predict the expected urine sodium and osmolality pattern for each

Compare hemodialysis, peritoneal dialysis and continuous renal replacement therapy on clearance mechanism, duration and typical indication

Calculate urea clearance from blood and dialysate flow using the formula K = (Qb × Ca)/(Cv − Ca) style relationships and explain why delivered clearance differs from prescribed clearance

Distinguish diffusion, convection and ultrafiltration and state which solute size each removes best

Interpret a Kt/V and urea reduction ratio result and identify at least three causes of an inadequate value

Identify the components of a dialysis prescription and explain how each is individualized (dialyzer, blood flow, dialysate flow, dialysate composition, treatment time, ultrafiltration goal)

Explain sodium and ultrafiltration profiling and when each is used

Sequence the nursing actions for hypotension, muscle cramping, and disequilibrium syndrome during a treatment

Differentiate the presenting features of air embolism, hemolysis, and dialyzer reaction and state the immediate action for each

Differentiate arteriovenous fistula, arteriovenous graft and central venous catheter on maturation time, infection risk, and flow characteristics

Demonstrate the buttonhole versus rope-ladder cannulation techniques and state the indication for each

Describe how to assess a fistula by palpation and auscultation, including the thrill, bruit, and pulse augmentation tests

List the signs of access dysfunction or stenosis and the escalation pathway for each

Trace the water treatment chain from incoming feed water through pretreatment, reverse osmosis, and distribution, naming what each stage removes

State the clinical consequence of each monitored water contaminant class (chlorine and chloramine, endotoxin, aluminum, bacteria) and the action when a limit is exceeded

Explain disinfection and reprocessing of the dialyzer and machine, including residual testing before reuse

Apply standard and transmission-based precautions to a dialysis unit scenario involving a patient with a bloodborne pathogen

Calculate and interpret sodium modeling, dry weight assessment, and ultrafiltration rate targets per hour of treatment

Explain the pathophysiology and prevention of intradialytic hypotension, including the role of cooling and sodium profiling

Describe vascular access infection prevention, including catheter hub disinfection and fistula cannulation site preparation

Outline the isolation and cohorting approach for a unit with a hepatitis B surface antigen positive patient

Interpret a basic metabolic panel and a dialysis adequacy panel and identify which abnormalities require immediate reporting

Explain the renal diet restrictions on potassium, phosphorus, sodium and fluid and match each to a food example

State the timing and monitoring requirements for erythropoiesis-stimulating agents, iron, phosphate binders and vitamin D analogs in dialysis patients

Identify the required elements of a dialysis treatment record and explain how a missing element affects quality reporting

Apply the principles of informed consent, confidentiality, and scope of practice to three dialysis unit scenarios

Demonstrate teach-back communication for a patient starting dialysis on fluid restriction and access care

Describe the reporting pathway for a patient safety event and distinguish a near miss from an adverse event

Complete a timed 60-question mixed review across all nine domains and analyze every missed item by domain