Infection Control
Water
Disaster and Emergency
Complications
Role and Regulations
100
This is the length of time you will wash your hands with soap and water.
What is 20-30 seconds?
100
This is how we regenerate a softener tank when it can no longer remove the necessary ions.
What is rinse it with water then with brine?
100
This can be described as sorting patients by severity.
What is triage?
100
These are the 2 most common dialysis related complications seen.
What are hypotension and cramping?
100
Setting up the machine, taking vital signs, and explaining what you are doing is part of this team members role.
Who is the patient care technician?
200
Not completely free of germs and is prepared to provide patient treatment.
What is clean?
200
Dialysis water systems are prevented from water softeners regenerating during treatment for this reason.
What is high levels of sodium could enter the blood so the RO is prevented from operating when the softener is regenerating?
200
Hemolysis, suspected pyrogenic reactions and blood leak are all reasons why this dialysis step will be deleted.
What is not returning the blood?
200
A drop in blood pressure due to rapid water removal that starves organs of oxygen can be defined as this.
What is organ stunning?
200
These are the Medicare “rules” that apply to U.S. dialysis clinics
What are conditions of coverage?
300
This is the point at which measures must be taken to meet AAMI standards.
What is action level?
300
This is the frequency CMS requires dialysis clinics to monitor hemodialysis water for total chlorine.
What is before the first patient shift and every 4 hours?
300
This mandate is required in the event your clinic is inoperable due to a disaster.
What is a back up clinic?
300
This is the first step to improve blood flow related to machine alarms with a CVC patient.
What is reposition the patient?
300
This can be described as the rules staff use regarding their patient relationships.
What are professional boundaries?
400
This is the patient risk if endotoxins pass through the dialyzer membrane.
What is a pyrogenic reaction?
400
This is the main risk of too much aluminum in dialysis water.
What is bone disease and dementia?
400
This is what an employee working in a backup clinic will expect before starting patient care.
What is training on equipment you are not used to?
400
What is an aneurysm?
400
Patient education will be repeated often by members of the care team for these reasons.
ESRD and dialysis can impact memory related to uremic toxins, fatigue and being overwhelmed.
500
This is the route of disease transmission from a contaminated needle stick.
What is bloodborne?
500
This is the minimum empty bed contact time does CMS require for water in the carbon tanks.
What is 5 minutes per tank and 10 minutes per pair of tanks.
500
These additional steps of flushing, disinfecting, and testing, compare the product water to past readings are required for this disaster.
What is a non flood related disaster?
500
This is your suspicion when evaluating the AVF/AVG that does not have a thrill or bruit.
What is clotted?
500
This is how CMS describes the patients wishes to be involved in their care to and perform any function of the dialysis treatment they wish.
What are patient rights?