Clinical
If a patient is above or below ___kg from TW post treatment, it has to be reported to the CN.
1
True/False
According to the Infection Control Policy, PPE is to be worn whenever there is the potential for contact with body fluids, hazardous chemicals, contaminated equipment & environmental surfaces; and gowns will be worn at all times when on the treatment floor.
True
True/False
According to policy 1-05-01: eating, drinking, smoking, applying cosmetics or lip balm is prohibited in the patient care area by TMs.
True, violation of infection control policy
True/False
The dialysis machine can be cleaned, but not set up for the next patient until the previous patient has left the dialysis station.
False: the dialysis station must be completely vacated before TMs can begin cleaning and disinfecting the station and set up for next pt.
The disaster plan binder contains p&p, and specific plans of action if a disaster were to occur. This binder is located ______
In FAs office on bookshelf
A decrease or increase of an intradialytic BP of ____mm/Hg or more from patient's last intradilaytic treatment BP reading must be reported to the CN
20
True/False
The Wall box, Drain and Water supply lines are considered part of the dialysis delivery system and should be cleaned only at the end of the day.
False: should be cleaned between each patient tx
The strength of bleach water to clean dialysis stations where no visible blood is seen is _____; the strength of bleach water to clean blood spill/splatters is ______.
1:100/1:10
Sharps containers are to be emptied when they are <___ full.
3/4
Name at least 3 reasons PD is encouraged for new dialysis patients.
Easier on heart/body, less dietary/fluid restrictions, easier to maintain employment, more freedom, feel more in control
A potassium level below ____ or above ____ is considered to be out of range and needs to be redrawn.
3.5/5.5
HepC virus can live up to this long on surfaces at room temperature _____
(according to a 2013 Yale study)
6 weeks
According to policy 1-14-01, a comprehensive re-assessment of each patient and a revision in the plan of care will be conducted at least _____ for stable patients by the IDT.
Annually
Ultra low chlorine checks are to be performed every ____ hours according to CMS, and every ____ hours according to Davita policy.
4, 3
This is the ESRD National Registry and Quality Reporting System that has to be managed monthly to ensure that all patients' labs and data are entered correctly, and that we are doing our PART by verifying patient admissions and discharges. This has often been a "royal" pain for Kim.
Crownweb
When obtaining a kt/v & urr, at the completion of treatment, you are to turn off or decrease ufr to 50, decrease dialysate flow to 300 or place into bypass, and reduce BFR to ___ for ____ seconds to allow arterial needle tubing and arterial line to fill with non-recirculated blood before obtaining your specimen.
100/15
Name 5 out of the 8 times listed in the Infection Control Policy that Gloves should be worn_____
1. Potential for exposure to blood, dialysate, and other potentially infectious substances
2. Setting up dialyzers pre tx
3. Inserting/removing needles
4. Connecting blood lines to the vascular access line
5. Touching blood lines, dialyzer or dialysis delivery system during or after treatment
6. Administering medications
7. Touching a patient or patient's belongings
8. Handling blood lines, dialyzers, dialysate tubing, and dialysis delivery system post tx
According to policy 1-04-01, the three acceptable skin antiseptics that can be used when cleaning a avf/avg include: _____, ______, ______
Iodine, ExSept, alcohol (alcohol only when the pt has documented allergies to other skin antiseptics)
According to Texas State Regulations, this is the staff: patient ratio for dialysis centers in Texas
1 RN 1 PCT up to 7 patients
then 4:1 ratio with separate RN
RNs are required to write a monthly progress note on each patient in falcon in this many categories.
6
bp/fluid, adequacy, anemia, access, pain, general
6x24=144
Name at least 5 of the 8 clinical measures that are used to measure DQI (Dialysis Quality Index)
Missed txs, cvc, bsi, cahps score, kt/v, readmission rate, fluid feidwg, and fluid pw>tw
According to the Infection Control Policy, hand hygiene is to be performed when:_______ (Name at least 6 out of the 8 events listed in the Infection Control Policy)
1. Entering pt tx area
2. prior to gloving
3.after removal of gloves
4. after contamination with blood or other infectious material
5. after patient and dialysis delivery system contact
6. between pts even if contact is casual
7.before touching clean areas such as supplies
8. upon exiting the pt tx area
Name the Effective Contact time (minimium amt of time that it is in contact with the skin), and the air drying time for each antiseptic: ExSept, Isopropyl Alcohol, and Povidone Iodine (betadine)
ExSept 60sec/2min
Alcohol 60sec/15sec
Iodine 30sec/2min
Define empty bed contact time and the time that is acceptable for empty bed contact time according to CMS and AAMI
The amount of time that water is in contact with the carbon in the carbon tanks; min of 5 minutes/tank or overall min of 10minutes.
TOC stands for _________, and includes performing a TW assessment within ____ treatments of pt being discharged from the hospital and a medication review within _____ days of pt being discharged from hospital. This is done in an effort to make sure we have accurate data and in attempts to prevent readmissions as much as possible.
Transition of care/ 2/ 7