Don't Go Chasing Waterfalls
Two PLANS that need to be posted in water room that are commonly reviewed during a survey
Water Contingency Plan/Concentrate Plan
This tool is included as part of your Emergency Preparedness Plan and must include ‘infectious diseases’ on the list.
Hazard Vulnerability Tool
What % of medical records must be audited in PD and ICHD on a monthly basis
10
Drills for emergencies must be done at least ______ with all patients and teammates; Fire drills must be done ______
annually; quarterly
This form must be on file for TM's showing they have met the requirements to care for patients. What is the name of this form?
Verification of Competency or Certificate of Competency
This must be posted in the water room showing system components.
Water Schematic Diagram
Facility must participate in a community-based full-scale exercise ______. If not available, refer to “Emergency Drills” section of policy 4-07-01.
annually
This form must be on file in the patients medical/health record for hepatitis intent.
hepatitis acceptance/declination vaccination form
If EMS responds to a clinical emergency, this log must be filled out and review in FHR with action plans as needed
Ambulance Transfer Logs
A charge nurse must has a minimum of ___months of nursing experience and ___ additional months in dialysis
9; 3
Total chlorine testing must be done prior to ____ shift after system has been operating for at least ___ minutes, and at least every ___ hours thereafter per policy
First; 15; 4
Fire And Evacuation Drills are conducted ____ with ____ shift of patients
quarterly; each/all
There is an ____ day assessment and updated plan of care (after initial assess/POC) completed by IDT for all pts new to dialysis
90
The facility must have this waiver on file for glucose testing and other lab testing performed.
Hint: This is NOT the CDPH permit
CLIA
RN in charge of nursing services must be full-time at facility, have ____months nursing experience, and____ months experience in dialysis
12;6
A TM collecting water cultures must open sample port and have water flowing for ____ minutes prior to collecting sample.
2
Each year the facility is required to download the Emergency Management Plan. What is the policy #
4-07-01
Initial patient assessments and care plans are completed within the first ____days or ____ICHD treatments
30/13
Medications containing a preservative must be discarded _____days after opening or accessed (e.g., needle punctured), unless the manufacturer specifies a different (shorter or longer) date or as directed by the manufacturer as in the case of vaccines or state specific pharmacy regulations
28
TMs who receive hep B vaccine per policy are tested every ___ months until HBsAb > 10 and tested for Hep C ______
6; annually
When washing your hands you should cover hands and wrists with lather and wash vigorously for how many seconds? .
20 seconds
Teammate & Patient Education must be completed upon hire, on admission, annually, and if there are any plan changes. What two forms are needed for TM's and Patients?
Teammates - Document Facility Emergency Preparedness Training Form
Patients - Document on Emergency Preparedness Training Acknowledgement in Reggie
Facility must obtain and review flow sheets on all home patients at least every _____ months- discussed in pt care plan if problems
2
Annual skills checklists and StarLearnings of staff mixing concentrates, testing dialysate, conductivity, chlorine/chloramine testing and microbial sample collection must be done annually for all TM's. What are the required courses
Annual Bicarb & Granuflo Training DVU3015 (Mixology Course): Biomed trains Mix Master; Mix Master trains Mixologist
CLED4140A: Mixology Part A_Importance of Dialysate (All mixologist)
CLED4140B: Mixology Part B- All About Mixing Dialysate (All mixologist)
CEC2041: The Conductivity Story (All PCT's)
CLED4133: Neutralization and Disposal of Residual Acid Concentrate (All mixologist)
CLED4133-POST: Neutralization and Disposal of Residual Acid Concentrate Post Test (All mixologist)
Hazardous Waste Collection Manifests and collection certificates for biomedical and hazardous waste must be maintained for this amount of years....
5 years