Hemodialysis starting and ending., Monitoring adequacy of the treatment monthly., Managing complications on hemodialysis., Pre and post-dialysis assessment of the patients., Documenting Patient's dialysis flow charts & notes., Reprocessing dialysis, Renal Nursing, Water treatment., HD procedure performance on HIV, HCV & HBsAg positive patients, Starting & closing AV fistula & graft, Starting & closing Femoral, Internal jugular & Subclavian permanent and temporary catheters, Assessing heart caths, fistulas, and grafts via vein-puncture., Administering routine medications and anticoagulants., Monitoring patients for severe hypotension and hypertension., Performing diabetic foot checks., Daily labs were drawn and hemoglobin and hematocrit levels established and monitored, Performing dialysis nursing skills in the delivery of treatment to patients, including venipuncture, catheter care, medication administration, anemia management, blood draws, recognition of cardiac arrests, and performance of CPR, Providing patient and family teaching, Documenting in ESIHI and maintained assigned primary patient charts, Prepared, monitored, and maintained dialysis machines and systems., Conducting and attending in-service education classes., Maintaining and using the Crash Cart, Maintaining Narcotic drug books., Budgeting of stores and pharmacy things., Hemodialysis Machine, Fresenius 5008 & 5008S, Fresenius 4008B & 4008S, Nikkiso DBB26 & Nikkiso DBB 27, Aquarius Machine, B-Braun Machine, Nipro Dialysis Machine, Laryngoscopes, Glucometer, Defibrillator, Pulse oximeter, Doppler’s, Nebulizers, Data scope, Infusion pumps, ECG machine, Oto scope, Ophthalmic scope, Suction apparatus