Basics
The most important infection prevention practice.
Hand Hygiene
What technique is used to prevent contamination while accessing CVC lumens?.
aseptic technique
What PPE is required when connecting and disconnecting patient to cycler?
Facemask (for everyone in the room), Eye protection, gloves, and fluid resistant gown.
What must be worn when touching blood lines, dialyzer, or dialysis delivery system?
Gloves
The required ratio of bleach solution used for disinfecting equipment that is visibly contaminated with blood or bodily fluids ?
1:10 bleach solution or hospital approved equivalent.
When washing hands you should cover hands and wrists with lather and wash vigorously for (how long)?
20 seconds
true/false: patient is required to wear a mask when accessing CVC.
True
When changing the exit site dressing, what must be done after the removal of the old dressing. This step prevents cross contamination and must be done prior to cleansing the site or applying new dressing.
Remove gloves, preform hand hygiene, and don new non-sterile gloves.
When does the dialysis nurse wear a mask in the treatment area.
A. At all times
B. When patient is in contact isolation
C. During AVF cannulation.
D. When drawing cultures from vascath.
D. When drawing cultures from vascath.
when prepping AVF or AVG site with alcohol swabs teammate should use a minimum of __ prep pads per site and allow __ seconds of contact time.
4 pads. 60 seconds.
Give an example of a situation that would require nursing staff to change gloves.
1. Soiled with blood or bodily fluids
2. When going from dirty to clean area
3. When moving from contaminated body site to clean site
4. After touching a patient or their dialysis delivery system and before touching another patient or their delivery system.
How often should dressing be changed?
Every 7 days or when the dressing is soiled/loose.
frequency may be different from facility to facility refer to hospital protocol.
Alcavis moistened gauze is used to sterilize Transfer set before and after tx. It must be scrubbed THEN soaked prior opening. How long is each step?
1 minute scrub
1 minute soak.
True/False: PPE must be removed before exiting the treatment area.
True
T/F: Dressing changes should NOT be performed in the treatment area with exception to vascular access care.
True!
When visibly soiled
after caring for patient with infectious diarrhea or possible exposure to spores
before and after using the restroom
CVC caps must be scrubbed with alcohol for ___ seconds.
60 seconds
True/false: When preforming postoperative care of PD catheter placement, sterile gloves are needed for dressing changes.
True.
The postoperative period is generally defined as the first 2-3 weeks after implantation. Dressing change frequency is done according to physician’s order but should be minimized during this time and sterile gloves used when cleaning site.
True/False: Full PPE must be worn while disinfecting the dialysis delivery system.
True. Faceshield, gown, and gloves should be worn during disinfection in case of chemical exposure.
Disposable medical supplies brought to the dialysis station should be discarded. Which of the following item(s) are disposable?
A. Tourniquet
B. Tape
C. cloth covered-BP cuff
D. All of the above
D. All of the above.