Misc
If a patient's annual HepB Surface Antibody is less than 10mIU/ml what does the patient require
A booster dose
Where is the HICS and Dialysis Emergency box located
Bottom cupboard in the PD Training Room
If you inadvertently touch the skin after properly cleaning it for cannulation, what would you do?
Stop, go back to perform skin cleaning step again before proceding
How many minutes does a patient need to sit before BP is measured?
5 minutes
What is the most effective purification method for removing bacteria and endotoxins
Reverse osmosis and endotoxin filters
Hep B can survive on surfaces for how many days
Seven
What is the name of the Hospital Emergency System
Hospital Incident Command System
Name 2 instances in which scrubbing the hub is required
Connection
Disconnection
Line reversals
Patient needs recirculation
When do you have to repeat the BP measure using a manual cuff?
What is > 90%
What contaminants are removed by the water softener
Calcium and magnesium (hardness) It removes these to protect the RO from scaling
What does a hepatitis c antibody "reactive" mean
Presumptive infection with hepatitis C
Inadequate water treatment and contamination
When performing exit site care after removing old dressing your gloves are contaminated. What do you do next?
Remove gloves, perform hand hygiene, put on new gloves before proceeding
At what point in the HD treatment do you shut off the UF and check the crit line to see if eDW has been reached?
10 minutes before the end of the treatment
What is the consequence to the RO membrane if water softener fails
It will become damaged by scaling and high concentrations of Mg and Ca
Name 4 instances which hand hygiene is performed
Before touching a patient
After touching the patient
Before a clean or aseptic procedure
After touching patient surroundings/patient station
After body fluid exposure risk
During dialysis a patient experiences, hypoxia, altered mental status, and seizures.
What do you suspect?
Discuss 2 interventions to treat
Air embolism
Stop HD-do not return blood
Administer oxygen, Fluids if needed, Place patient supine
How does auditing improve infection prevention
Targets education
Reduces variability
Real time feedback
Adaptable
Supports open communication
How many seconds do you scrub the tego prior accessing the line?
5 seconds x2
What is the location of the endotoxin filter/ultrafilter for final water quality assurance
Within the distribution loop, immediately before the water port leading to the dialysis machine
Is patient acutely infected or chronically infected
Hep B Surface Antigen-Positive
Hep B Core Antibody Total-Positive
Hep B Surface Antibody-Negative
Hep B Core Antibody Igm-Negative
Chronically infected
Ten minutes into dialysis treatment, the patient complains of pruritis, dyspnea, wheezing, and chest pain.
You suspect:
What do you do?
Dialyzer reaction
Stop dialysis return blood back to the patient
What is the name of the hospital infection control policy
Standard and Transmission Based Precautions
How many seconds do you let the CHG scrub dry
5 seconds
What is AAMI action level for standard dialysis water
50 CFU/ml
half the maximum limit