Patient Care
Are patient's transferred by lifts allowed to be taken to the bathroom?
NO.
What is the only IVP ESA in home therapies?
Epogen.
What parts of the IDT can conduct a home visit?
PCT, MSW, RD, LPN, RN, Biomed
If a water lab is not drawn within the calender time frame what must the patient do?
Use hanging bags - pureflow cannot be used until water labs have resulted within the calender time fram.
How long after Catheter placement can training start?
2 weeks
Where is an ideal place to train a HepB+ patient?
In the home.
How many anaphylaxis kits are required for a home therapy program to have?
One for each room kept in a safe area at the nurses station - with anaphylaxis procedures posted in each room.
Who can remove sutures on a dialysis access?
RN with MD orders.
How many days after intiation of home dialysis does the SAK sample need to resulted by?
30.
What day of active/suspected infection event should antifungal prophylaxis be started?
Day 3
If a patient has a BM or urine leak on the machine and cannot be escorted to the bathroom what are HT staff expected to do?
Clean the patient with respect and dignity. If it becomes a recurrent issue it needs to be brought to the whole IDT.
What is the standard gram neg and gram positive abx to start for suspected infections?
Ceftazidime and Vancomycin.
What part of the IDT can do semi-annually skills validation?
RN
When is a patient, care partner, or HT staff allowed to draw saline into a syringe from a bag of saline?
In the patient's home ONLY.
What is the minimum dwell time for peritoneal dialysis fluid to use for sending cultures in a suspected infection?
1 hour.
How often should home visits take place?
Annually for both modalities. Semi-annual for solo/nocturnal patients. As soon as possible for infection events. PRN.
How many doses of ferrlicit must a patient recieve in clinic before administering at home?
2- 125mg doses.
What part of the IDT can put in training notes daily on patients?
PCT or RN
How many seconds must the blood flow rate be reduced to 100ml/min with DFR set to 0.0 to draw a POST BUN?
How long must the PDC extension set be soaked in Alcavis after touch contamination?
5 minutes.
What two devices are needed in the facility for a patient with bed bugs?
Steamer and Heater Bag
Preferred site per policy for venipuncture or IV placement?
Dorsum of the hand. Cephalic or Ulnar veins should be avoided when possible.
No-one. In the event of an emergency like a bag exploding the patient can put on their new bag and we must help clean the area the best we can.
What must be ordered for patients for emergency blood loss situations in the home?
Tourniquet kits.
How is intial dialysis prescription established for a patient on Incremental PD?
AREP PD calculator.