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Continuous Renal Replacement Therapy (CRRT) is an essential intervention for patients experiencing severe kidney dysfunction. This therapy offers a continuous mechanism for removing fluids and toxins from the bloodstream, leveraging the patient’s blood pressure to facilitate filtration through a specialized filter. This method contrasts with intermittent dialysis, providing a gentler and more consistent removal of waste products and excess fluid, which is particularly beneficial in...
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Acute Kidney Injury (AKI) requires a collaborative healthcare approach to restore renal function and prevent complications. Essential management strategies involve monitoring fluid and electrolyte balance, adjusting medications, initiating dialysis when necessary, and providing nutritional support.Fluid and Electrolyte ManagementFluid Monitoring: Regularly monitoring body weight, central venous pressure, and urine output helps detect fluid imbalances early. Patient intake and output are...
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Chronic kidney disease (CKD) requires collaborative and comprehensive management. CKD progresses through stages and can lead to end-stage kidney disease (ESKD) if untreated. Interprofessional collaboration and patient education are crucial, enabling patients to manage their health and improve their quality of life.Diagnostic approach for chronic kidney diseaseThe diagnosis of CKD primarily focuses on the glomerular filtration rate (GFR), which assesses kidney function by measuring how well...
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Training and Maintaining: Developing a Successful and Dynamic Continuous Renal Replacement Therapy Program.

Heather Przybyl1, Jill Evans1, Laurie Haley1

  • 1Heather Przybyl is Clinical Education Specialist, Medical/Surgical Intensive Care Unit, Banner University Medical Center-Phoenix, 1111 E. Mc Dowell St, Phoenix, AZ 85006 (heather.przybyl@bannerhealth.com). Jill Evans is Nursing Director, Medical/Surgical Intensive Care Unit, Banner University Medical Center-Phoenix, Phoenix, Arizona. Laurie Haley is Staff Nurse, Medical/Surgical Intensive Care Unit, and Facilitator, "New to CRRT" class and annual CRRT competencies, Banner University Medical Center-Phoenix, Phoenix, Arizona. Jodi Bisek is Staff Nurse, Medical/Surgical Intensive Care Unit, and Facilitator, "New to CRRT" class and annual CRRT competencies, Banner University Medical Center-Phoenix, Phoenix, Arizona. Emily Beck is Staff Nurse, Medical/Surgical Intensive Care Unit, and Facilitator, "New to CRRT" class and annual CRRT competencies, Banner University Medical Center-Phoenix, Phoenix, Arizona.

AACN Advanced Critical Care
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PubMed
Summary

Continuous renal replacement therapy (CRRT) training programs for nurses are essential for critically ill patients. This article details a successful CRRT training approach incorporating adult learning principles and diverse teaching methods.

Keywords:
CRRTcompetencycontinuous renal replacement therapypatient simulationtraining

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Area of Science:

  • Nephrology
  • Critical Care Nursing
  • Medical Education

Background:

  • Continuous renal replacement therapy (CRRT) is vital for unstable critically ill patients with acute kidney injury or chronic renal disease.
  • Existing CRRT training programs in the US and Canada highlight key development and maintenance themes.
  • Adult learning principles are crucial for effective CRRT training.

Purpose of the Study:

  • To outline a comprehensive approach for training nurses in continuous renal replacement therapy (CRRT).
  • To describe the implementation of a CRRT training program within a healthcare system in Arizona.
  • To emphasize the integration of adult learning principles and varied teaching modalities.

Main Methods:

  • Utilized a variety of teaching methods including online modules, didactic lectures, and return demonstrations.
  • Incorporated high-fidelity patient simulation for complex therapy training.
  • Focused on practical application and competency validation for nurses caring for CRRT patients.

Main Results:

  • The described training approach aims to ensure nurses are proficient in managing patients on CRRT.
  • Highlights the importance of a structured program for high-risk, complex therapies.
  • Facilitates the successful implementation and maintenance of CRRT services.

Conclusions:

  • Effective CRRT training requires a blend of theoretical knowledge and practical skills.
  • Adult learning principles enhance the efficacy of CRRT education for nursing staff.
  • This model provides a framework for developing robust CRRT training programs in healthcare settings.