HLTRNL004 — Apply renal replacement therapy

1 Establish therapeutic relationship to support self-management of renal replacement therapy.

• 1.1Perform physical assessment to establish cognitive ability to support self-management of renal replacement therapy.
• 1.2Provide opportunity for care dialogue and clarify elements of concern.
• 1.3Encourage open dialogue and comprehensive engagement in therapeutic intervention.
• 1.4Provide education to encourage self-care management of renal replacement therapy.
• 1.5Identify areas of concern relating to self-management of renal replacement therapy, and report to multidisciplinary health care team.
• 1.6Provide referral to primary health, tertiary health and community services in collaboration with multidisciplinary health care team.

2 Assess physical health status for dialysis.

• 2.1Perform physical pre-dialysis assessment and report outcomes to multidisciplinary health care team.
• 2.2Inspect person’s access device for suitability for dialysis for foreseeable treatment risks.
• 2.3Perform specimen collection of access and catheter sites for microbiological analysis.
• 2.4Identify physical health risks related to dialysis prescription, and document and report.

3 Perform peritoneal dialysis exchange.

• 3.1Examine peritoneal dialysis catheter exit site and perform exit site dressing.
• 3.2Prepare peritoneal dialysis additives for dialysis bag in line with delegation and identify causes of peritoneal fluid failure to drain.
• 3.3Perform peritoneal exchange according to prescribed treatment order and organisational policies and procedures.
• 3.4Monitor risks associated with treatment during procedure.
• 3.5Document and refer identified risks and clinical features suggestive of dialysis-related peritonitis.
• 3.6Identify acute and delayed adverse reactions to dialysis additives and respond within scope of work role.
• 3.7Document and report treatment outcomes.

4 Assist with self-care management of peritoneal dialysis.

• 4.1Appraise competence and readiness for the procedure and self-management including technique for Tenckoff catheter care and provide education.
• 4.2Provide assistance and education relating to peritoneal dialysate fluid exchange.
• 4.3Monitor treatment progress and ensure supporting documentation is complete.
• 4.4Identify and respond to procedural variations and risk during peritoneal dialysis treatment.
• 4.5Collect effluent specimen for microbiological analysis.
• 4.6Assess response to treatment and document and report outcomes.
• 4.7Perform self-management appraisal on peritoneal dialysis consumables, sustainable practice and waste minimisation.

5 Prepare person and equipment for haemodialysis.

• 5.1Explain procedure and prepare for treatment.
• 5.2Apply hand hygiene and use of personal protective equipment (PPE) in accordance with infection prevention and control guidelines.
• 5.3Prepare dialysis machine and determine dialysis settings.
• 5.4Identify site for cannulation and signs of fistula stenosis and infection, and report abnormalities prior to commencement of procedure.
• 5.5Prepare and perform cannulation according to organisational policies and procedures.

6 Perform haemodialysis.

• 6.1Connect haemodialysis machine according to organisational policies and procedures and infection prevention and control guidelines.
• 6.2Monitor for signs of deterioration during haemodialysis and report variations in health status.
• 6.3Identify and respond to machine alarms and other problems with haemodialysis.
• 6.4Assess response to treatment and other interventions as administered.
• 6.5Identify, respond and document adverse reactions.
• 6.6Complete haemodialysis machine disconnection in accordance with organisational policies and procedures.
• 6.7Provide equipment care in accordance with infection prevention and control guidelines and manufacturer instructions.
• 6.8Inspect vascular access site pre- and post-procedure and report adverse findings.

7 Evaluate health status at completion of dialysis.

• 7.1Complete post-dialysis assessment.
• 7.2Evaluate treatment and report.
• 7.3Provide feedback of physical health assessment.
• 7.4Provide opportunities to listen to concerns and respond.

What does an assessment tool for HLTRNL004 need to cover?

To satisfy the Principles of Assessment and Rules of Evidence, an assessment for HLTRNL004 needs to address all 116 unit components: 7 elements with 41 performance criteria, 11 performance evidence requirements, 64 knowledge evidence requirements, and the foundation skills. A coverage matrix mapping each question and task to these components is what an auditor looks for.

How does Auditori generate an assessment tool for HLTRNL004?

Auditori pulls the current release of HLTRNL004 from training.gov.au and generates a complete package: candidate assessment, assessor guide with model answers and observation criteria, and a coverage matrix mapping every component. A suitably qualified person then reviews and approves the draft in a built-in workflow — consistent with ASQA's guidance on AI use in VET — before export as branded PDF and editable Word.

Is the first assessment tool really free?

Yes. Every new account includes one free credit — enough to generate the complete assessment tool for HLTRNL004 — with no card and no subscription required. After that it's pay-as-you-go per unit.

Can I check my existing HLTRNL004 assessment instead of generating a new one?

Yes — upload your existing assessment or learner guide and Auditori maps it against every element, performance criterion, PE and KE of HLTRNL004, showing exactly what's covered and what's missing. Mapping costs a quarter of a credit.