1 Nephrology Fellowship logbook
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Nephrology Fellowship logbook
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CONTENTS ………………… Instruction for the use of the logbook …………………………………………………………………..
Cases & conditions…………………………………………………………………..…………………………………………
Renal replacement competencies………………………………………………………………………...
Procedures……….. …………………………………………………………………..……………………………………
First year logbook …………………………………………………………………..…………………………………………
Clinical nephrology I …………………..………………………………………………..…………………………
Academic activities …………………………………………………………………..…………………………
Procedures log 1……... …………………………………………………………………..……………………………
Dialysis logbook 1…………………………………………………………………..…………………………………………
Transplantation log 1 …………………………………………………………………..……………………………………
Second year logbook…………………………………………………………………..……………………………………
Clinical nephrology 2 …………………..………………………………………………..…………………………
Academic activities 2…………………………………………………………………..…………………………
Renal ICU……………………………………………………………………………………………………………………..
Procedures log 2……... …………………………………………………………………..……………………………
Dialysis logbook 2…………………………………………………………………..…………………………………………
Transplantation log 2 …………………………………………………………………..……………………………………
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14
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26
29
39
55
69
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78
83
91
105
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وب ردتايسلس ب ردس و فشارس و تسيفشتسملا
فشس وب ردا فشس وب ردا
يريتمس فابس وب ردا
(ميفس ل لااس و فشار) يريتمس فابس وب ردا
(ميفس ل لااس و فشار)
ايشس ياشس ايشس ياشس وب ردا وب ردا
فشس وب ردا فشس وب ردا
يريتمس فابس وب ردا
(ميفس ل لااس و فشار) يريتمس فابس وب ردا
(ميفس ل لااس و فشار)
ايشس ياشس ايشس ياشس وب ردا وب ردا
متالايس نعتةسصخس وب فشت
س سفش
سياشالس وبتات
سسس وينر ا
سسشيشسيب تلس د لوةس وبلنة
سشيشس و اتدرا
سشيشس وب برر
سس ووبافس اود بللت
سسس و نعل
سسياشالس وةوررسماود اوةس وبعباة
ةرشخس نعتة
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Instructions for the use of logbook
Aim of the logbook
The purpose of the logbook is to provide one source of evidence for the ne-
phrology scientific council that you attained the desired level of competency
required for licensure. It is the place where you are going to document experi-
ences and skills you attained during your training.
The logbook is divided into several sections. These instructions will help you
completing those sections correctly.
Personnel information
Please fill in all your personnel information required. This will help the Egyp-
tian Fellowship Administrators to process your logbook during scientific coun-
cil evaluation yearly and finally before sitting for the final exam. Your person-
nel photo should be attached to the logbook and you should sign the personnel
information page
Clinical nephrology , dialysis and transplantation case log
1. You will find lists with all required cases in the curriculum. Your level of
participation in each case and expected activities are also determined
2. You need to mention the patient data, management provided and case pro-
visional & final diagnosis
3. For each case write the date of the interview
4. Make a check mark at the appropriate column indicating your level of par-
ticipation in case management (observer, supervised management of the
case or independent management of the case)
5. Each case should be counter signed by your trainer. His signature is the
proof of your actual participation. The trainer signature should be very
clear
Procedures’ log
1. The logbook contains tables for required procedures during different stages
of training and the level of desired performance at each stage.
2. You will also find empty tables to write down the procedures, your level of
participation and the date.
3. Your trainer should countersign each procedure to document the event
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Academic activities
1. Academic activities that must be documented are lectures, journal clubs,
morbidity and mortality meetings and workshops or conferences at-
tended.
2. Any attended activity must be signed by the workshop or conference organ-
izer/coordinator. At least two national conferences in the field of nephrol-
ogy must be attended
Rotation Proof
Your scientific council has determined specific rotations in subspecialties
that you must go through during the training period (see your curriculum for
details). After you finish each rotation sign its block by the Hospital/training
center manager and stamp officially.
Assessment of logbook activities
1. Your trainer will assess your logbook weekly for completion and provide
feedback
2. Your educational supervisor will assess your logbook monthly or every two
months, provide verbal or written feedback and counter sign important ac-
tivities
3. The examination committee of the scientific council will revise your log-
book:
A) Annually before you progress from one year of training to another
B) At the end of training before the final exam
To be noted that unsatisfactory completion of the logbook would lead to delay
of training progression.
Unsatisfactory logbook at the end of training will prevent you from entering the
final exam
Important Notice:
It is your responsibility to maintain accurate and completed logbook and to regu-
larly update your records. Shall you meet any difficulty; you must contact your
trainer or your specialty administrator at the Egyptian Fellowship Board.
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Core Conditions and procedures that must be Managed Competently
by Nephrology Trainees
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Clinical condition Clinical condition
Renovascular diseases Arterial and venous thrombosis
Thrombotic microangiopathies Renal vasculitis
Clinical condition Clinical condition
Gross Hematuria Microscopic hematuria
Asymptomatic proteinuria Nephrotic syndrome
Nephritic Syndrome Rapidly progressive glomeru-
lonephritis
Chronic glomerulonephritis
2. Vascular Disease
1. Glomerular Diseases
Clinical condition Clinical condition
Renal tubular acidosis Renal tubular rickets
Bartter syndrome Nephrogenic diabetes insipidus
Interstitial nephritis Hyperoxaluria
3. Tubulo-interstitial disorders
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Clinical condition Clinical condition
Acute and recurrent urinary tract infections
Stones diseases and obstructive uropathy
Neurogenic bladder and voiding disorders
Vesicoureteric reflux
4. Urinary tract
Clinical condition Clinical condition
Pregnancy with preexisting renal
disease Liver disease
Pregnancy with new renal in-
volvement Specific infections
Essential hypertension Congestive heart failure
Secondary hypertension Sickle cell nephropathy
Hyperlipidemia Dysproteinemias
Diabetic nephropathy Amyloidosis
SLE Metabolic errors
Other collagen disorders
5. Systemic conditions with renal involvement
6. Renal patients with electrolyte and acid base disturbances
7. Cystic renal diseases
8. Renal and urinary tract neoplasia
9. Acute renal injury of various causes
10. Chronic kidney disease due to various causes and stages
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Clinical condition Clinical condition
Acute coronary syndrome Hypertensive emergencies
Pulmonary edema Sepsis and severe acute infections
Cerebrovascular stroke Status epilepticus
Hepatorenal syndrome
11. Medical emergencies associated with renal problems
Clinical condition Clinical condition
Nephrotic syndrome Cystic renal diseases
Congenital/ infantile nephrosis Acute and recurrent urinary tract
infections
Nephritic syndrome Congenital obstructive uropathies
Hemolytic-Uremic syndrome Neurogenic bladder and voiding
disorders
Renal tubular acidosis Vesico-ureteric reflux and reflux
nephropathy
Renal tubular rickets Fluid, electrolyte and acid-base
disturbances
Bartter syndrome Acute Kidney Injury of various
causes
Nephrogenic Diabetes Insipidus Chronic Kidney Disease of various
causes and stages
12. Pediatric renal diseases
The trainees level of participation in the management of pediat-
ric nephrology cases is either observation or assistance in man-
agement only
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RENAL REPLACEMENT THERAPY COMPETENCIES
1. Chronic hemodialysis, initial prescription*
2. Chronic hemodialysis, ongoing management*
3. Acute hemodialysis
4. Slow continuous HD
5. Hemodialysis, session complications*
6. Hemodialysis, access complications*
7. Plasmapheresis
8. Acute peritoneal dialysis*
9. Chronic peritoneal dialysis, initial prescription
10. Chronic peritoneal dialysis, ongoing management
11. Peritoneal dialysis, complications
12. Pretransplant evaluation
13. Transplantation day management
14. Transplantation, postoperative hospital stay management
15. Post transplant follow up
16. Transplantation, acute stage complications
17. Transplantation, long term complications
Cases marked * are specifically required in both adult and pediatric pa-
tients
The logbook must contain evidence of competent performance of the
above mentioned procedures at the level of
1. observation and assistance during the first year of training
2. Independent performance under supervision at the second year of
training
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LIST OF PROCEDURES
1. Renal and urinary tract ultrasonography
2. Native kidney ultrasound guided kidney biopsy
3. Graft ultrasound guided kidney biopsy
4. Insertion of femoral catheters
5. Insertion of double lumen central venous dialysis catheters
6. Insertion of acute peritoneal catheters
7. Renal graft perfusion
Trainees must observe and assist in the above mentioned procedures
during the first year of training
They must perform the above mentioned procedures under supervision
during the second year of training and they may require assistance
Trainees are assumed to have developed competency in routine medical
procedures and advanced life support as part of their training in Inter-
nal Medicine prior to starting the nephrology program.
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Clinical Nephrology 1
Trainees level of participation are
1. observation of case management O
2. Assistance in case management A
3. Supervised management of the case P
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Clinical Nephrology cases Log
Patient’s Name Patient ‘s Hospital
ID Provisional diagnosis
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Clinical Nephrology Cases log
Management provided
Level of trainees
participa-tion
Final diagnosis & Discharge condition
Trainer Signature/
Date O A P
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Clinical Nephrology cases Log
Patient’s Name Patient ‘s Hospital
ID Provisional diagnosis
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Clinical Nephrology Cases log
Management provided
Level of trainees
participa-tion
Final diagnosis & Discharge condition
Trainer Signature/
Date O A P
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Clinical Nephrology cases Log
Patient’s Name Patient ‘s Hospital
ID Provisional diagnosis
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Clinical Nephrology Cases log
Management provided
Level of trainees
participa-tion
Final diagnosis & Discharge condition
Trainer Signature/
Date O A P
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Clinical Nephrology cases Log
Patient’s Name Patient ‘s Hospital
ID Provisional diagnosis
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Clinical Nephrology Cases log
Management provided
Level of trainees
participa-tion
Final diagnosis & Discharge condition
Trainer Signature/
Date O A P
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Clinical nephrology academic activities Log
Activity Type Title of the meeting Trainer’s
signature and date
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Clinical nephrology academic activities Log
Activity Type Title of the meeting Trainer’s
signature and date
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Procedures Log
Trainees level of participation are
1. Observation of procedure O
2. Assistance in performance of procedure A
3. Supervised performance of procedure P
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Procedure: renal ultrasound
Patient’s diagnosis
Level of trainees
participa-tion
Indication for procedure
Trainer Signature/
Date O A P
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Procedure: renal ultrasound
Patient’s diagnosis
Level of trainees
participa-tion
Indication for procedure
Trainer Signature/
Date O A P
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Procedure: native kidney ultrasound guided biopsy
Patient’s diagnosis
Level of trainees
participa-tion
Indication for procedure
Trainer Signature/
Date O A P
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Procedure: graft ultrasound guided biopsy
Patient’s diagnosis
Level of trainees
participa-tion
Indication for procedure
Trainer Signature/
Date O A P
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Procedure: insertion of femoral catheter
Patient’s diagnosis
Level of trainees
participa-tion
Indication for procedure
Trainer Signature/
Date O A P
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Procedure: insertion of double lumen central ve-nous dialysis catheter
Patient’s diagnosis
Level of trainees
participa-tion
Indication for procedure
Trainer Signature/
Date O A P
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Procedure: insertion of acute peritoneal catheter
Patient’s diagnosis
Level of trainees
participa-tion
Indication for procedure
Trainer Signature/
Date O A P
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Procedure: others
Patient’s diagnosis
Level of trainees
participa-tion
Indication and name of procedure
Trainer Signature/
Date O A P
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Procedure: others
Patient’s diagnosis
Level of trainees
participa-tion
Indication and name of procedure
Trainer Signature/
Date O A P
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Dialysis 1
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Hemodialysis and peritoneal dialysis requested skills
1. Pre session clinical evaluation
2. Vascular access puncture or peritoneal catheter insertion
3. Monitoring of machine priming
4. Monitoring of alarm system
5. Recognition and management of different intradialytic complica-
tions
6. Measurement of dialysis session efficacy
7. Monitoring and termination of dialysis session
8. Post-session evaluation
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Chronic hemodialysis Log
Patient’s Name Patient ‘s Hospital
ID diagnosis
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Chronic hemodialysis Log
Ongoing management From: To:
Level of trainees
participa-tion
Trainer Signature/Date
Initial prescription
Yes No
O A P
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Hemodialysis complications Log
Patient’s Name Patient ‘s Hospital
ID diagnosis
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Hemodialysis complications Log
Problem
Level of trainees
participa-tion
Trainer Signature/
Date
Management
O A P
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Acute hemodialysis Log
Patient’s Name Patient ‘s Hospital
ID diagnosis
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Acute hemodialysis Log
Indication for dialysis
Level of trainees
participa-tion
Trainer Signature/
Date
Procedure done
O A P
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Acute peritoneal dialysis Log
Patient’s Name Patient ‘s Hospital
ID diagnosis
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Acute peritoneal dialysis Log
Indications for dialysis
Level of train-ees participa-
tion Trainer
Signature/Date
O A P
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Chronic peritoneal dialysis Log
Patient’s Name Patient ‘s Hospital
ID diagnosis
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Chronic peritoneal dialysis Log
Ongoing management From: To:
Level of trainees
participa-tion
Trainer Signature/Date
Initial prescription
Yes No
O A P
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Peritoneal dialysis complications Log
Patient’s Name Patient ‘s Hospital
ID diagnosis
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Peritoneal dialysis complications Log
Problem
Level of trainees
participa-tion
Trainer Signature/
Date
Management
O A P
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Transplantation 1
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Requested activities for trainees at renal transplantation unit
Activities related to patients preparation
1. Choice of transplantation candidates :
Indications for Transplanation
Contraindications if present
Fitness of the recipient
2. Donor preparation and fitness for donation
3. Immunological matching
Tissue typing
MLC
PRA
Cross matching
4. Radiological workup for donor and recipient
5. Participation in meetings and discussions related to consent for donation and
ethical considerations
The Transplanation procedures
1. Preoperative preparation :
Final cross matching
Infection control measures
Immunosuppression
Hemodialysis
2. Day zero
Anesthesia
Immunosuppression
Kidney perfusion
Monitoring of surgical procedure
Calculation of ischemia time
Fluid and electrolyte monitoring
Cardiovascular monitoring
3. Day1-disharge
Assessment of graft function
Monitoring and adjustment of immunosuppression
Monitoring and management of hospital stay complications like
DVT
Monitoring and management of acute rejection
Monitoring and management of opportunistic infections
Monitoring and management of surgical complications e.g. lympho-
cele
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Followup of transplant recipient
1. Attendance of outpatient transplant clinics
2. Admission and management of complicated cases under supervision
3. Observation and assistance in the formulation of strategies to delay chronic
allograft nephropathy
4. Observation and assistance in second and third transplant workup
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Renal transplantation Log
Patient’s Name Original renal disease Pretransplant evaluation
Skills
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Renal transplantation log
Day zero skills
Level of trainees
participa-tion
Trainer Signature/
Date
Postoperative skills
O A P
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Renal transplantation Log
Patient’s Name Original renal disease Pretransplant evaluation
Skills
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Renal transplantation log
Day zero skills
Level of trainees
participa-tion
Trainer Signature/
Date
Postoperative skills
O A P
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Renal transplantation Log
Patient’s Name Original renal disease Pretransplant evaluation
Skills
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Renal transplantation log
Day zero skills
Level of trainees
participa-tion
Trainer Signature/
Date
Postoperative skills
O A P
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Renal Transplant outpatient clinic
Patient’s Name Date of trans-
plantation Original renal disease
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Renal transplant outpatient clinic
Problem / cause of visit
Level of trainees
participa-tion
Trainer Signature/
Date
Management provided
O A P
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Renal Transplant outpatient clinic
Patient’s Name Date of trans-
plantation Original renal disease
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Renal transplant outpatient clinic
Problem / cause of visit
Level of trainees
participa-tion
Trainer Signature/
Date
Management provided
O A P
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Clinical Nephrology 2 and Renal ICU
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Clinical Nephrology cases Log
Patient’s Name Patient ‘s Hospital
ID Provisional diagnosis
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Clinical Nephrology Cases log
Management provided
Level of trainees
participa-tion
Final diagnosis & Discharge condition
Trainer Signature/
Date O A P
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Clinical Nephrology cases Log
Patient’s Name Patient ‘s Hospital
ID Provisional diagnosis
73
Clinical Nephrology Cases log
Management provided
Level of trainees
participa-tion
Final diagnosis & Discharge condition
Trainer Signature/
Date O A P
74
Clinical Nephrology cases Log
Patient’s Name Patient ‘s Hospital
ID Provisional diagnosis
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Clinical Nephrology Cases log
Management provided
Level of trainees
participa-tion
Final diagnosis & Discharge condition
Trainer Signature/
Date O A P
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Clinical nephrology academic activities Log
Activity Type Title of the meeting Trainer’s
signature and date
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Clinical nephrology academic activities Log
Activity Type Title of the meeting Trainer’s
signature and date
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Renal ICU cases Log
Patient’s Name Patient ‘s Hospital
ID Provisional diagnosis
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Renal ICU Cases log
Management provided
Level of trainees
participa-tion
Final diagnosis & Discharge condition
Trainer Signature/
Date O A P
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Renal ICU cases Log
Patient’s Name Patient ‘s Hospital
ID Provisional diagnosis
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Renal ICU Cases log
Management provided
Level of trainees
participa-tion
Final diagnosis & Discharge condition
Trainer Signature/
Date O A P
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Procedures Log
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Procedure: renal ultrasound
Patient’s diagnosis
Level of trainees
participa-tion
Indication for procedure
Trainer Signature/
Date O A P
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Procedure: renal ultrasound
Patient’s diagnosis
Level of trainees
participa-tion
Indication for procedure
Trainer Signature/
Date O A P
86
Procedure: native kidney ultrasound guided biopsy
Patient’s diagnosis
Level of trainees
participa-tion
Indication for procedure
Trainer Signature/
Date O A P
87
Procedure: graft ultrasound guided biopsy
Patient’s diagnosis
Level of trainees
participa-tion
Indication for procedure
Trainer Signature/
Date O A P
88
Procedure: insertion of femoral catheter
Patient’s diagnosis
Level of trainees
participa-tion
Indication for procedure
Trainer Signature/
Date O A P
89
Procedure: insertion of double lumen central ve-nous dialysis catheter
Patient’s diagnosis
Level of trainees
participa-tion
Indication for procedure
Trainer Signature/
Date O A P
90
Procedure: insertion of acute peritoneal catheter
Patient’s diagnosis
Level of trainees
participa-tion
Indication for procedure
Trainer Signature/
Date O A P
91
Dialysis 2
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Chronic hemodialysis Log
Patient’s Name Patient ‘s Hospital
ID diagnosis
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Chronic hemodialysis Log
Ongoing management From: To:
Level of trainees
participa-tion
Trainer Signature/Date
Initial prescription
Yes No
O A P
94
Hemodialysis complications Log
Patient’s Name Patient ‘s Hospital
ID diagnosis
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Hemodialysis complications Log
Problem
Level of trainees
participa-tion
Trainer Signature/
Date
Management
O A P
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Acute hemodialysis Log
Patient’s Name Patient ‘s Hospital
ID diagnosis
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Acute hemodialysis Log
Indication for dialysis
Level of trainees
participa-tion
Trainer Signature/
Date
Procedure done
O A P
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Acute peritoneal dialysis Log
Patient’s Name Patient ‘s Hospital
ID diagnosis
99
Acute peritoneal dialysis Log
Indications for dialysis
Level of train-ees participa-
tion Trainer
Signature/Date
O A P
100
Chronic peritoneal dialysis Log
Patient’s Name Patient ‘s Hospital
ID diagnosis
101
Chronic peritoneal dialysis Log
Ongoing management From: To:
Level of trainees
participa-tion
Trainer Signature/Date
Initial prescription
Yes No
O A P
102
Peritoneal dialysis complications Log
Patient’s Name Patient ‘s Hospital
ID diagnosis
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Peritoneal dialysis complications Log
Problem
Level of trainees
participa-tion
Trainer Signature/
Date
Management
O A P
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Transplantation 2
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Renal transplantation Log
Patient’s Name Original renal disease Pretransplant evaluation
Skills
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Renal transplantation log
Day zero skills
Level of trainees
participa-tion
Trainer Signature/
Date
Postoperative skills
O A P
108
Renal transplantation Log
Patient’s Name Original renal disease Pretransplant evaluation
Skills
109
Renal transplantation log
Day zero skills
Level of trainees
participa-tion
Trainer Signature/
Date
Postoperative skills
O A P
110
Renal Transplant outpatient clinic
Patient’s Name Date of trans-
plantation Original renal disease
111
Renal transplant outpatient clinic
Problem / cause of visit
Level of trainees
participa-tion
Trainer Signature/
Date
Management provided
O A P
112
Renal Transplant outpatient clinic
Patient’s Name Date of trans-
plantation Original renal disease
113
Renal transplant outpatient clinic
Problem / cause of visit
Level of trainees
participa-tion
Trainer Signature/
Date
Management provided
O A P
114
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