CNA Clinical Skills
What does ADL stand for?
Activities of Daily Living
What type of water is required for dialysis?
Treated/ultrapure water
What vital signs are checked before dialysis?
BP, pulse, temp, weight
What PPE is required during cannulation?
Gloves, gown, face shield or mask
What does CHT stand for?
Certified Hemodialysis Technician
When transferring a patient from bed to wheelchair, what do you check first?
Locks on the bed and chair
What is the name of the process used to purify dialysis water?
Reverse osmosis (RO)
What is the most common complication during dialysis?
Hypotension
What is the minimum handwashing time?
20 seconds
What is the primary function of dialysis?
To remove waste, excess fluids, and toxins from the blood
What’s the first step before giving a bed bath?
Explain the procedure and wash hands
Why is chlorine dangerous in dialysis water?
It can damage red blood cells
What does a bruit or thrill indicate in a fistula?
Proper blood flow
What’s the most common way infection spreads in dialysis?
Cross-contamination from poor hand hygiene
What organ does dialysis replace?
The kidney
Where should the CNA stand when helping a patient walk with a weak left side?
On the left (weaker) side
What is the acceptable level of total chlorine in water used for dialysis?
Less than 0.1 ppm
What is dry weight?
The patient’s weight after dialysis with no excess fluid
When must a dialysis machine be disinfected?
After every treatment
What is the name of the filter used in hemodialysis?
Dialyzer
What should you do if you make a mistake in documentation?
Draw one line through it, write “error,” and initial it
What system monitors water pressure and quality in dialysis?
Water treatment system control panel (includes pre-treatment and RO monitoring)
What should you do if a patient reports chest pain during treatment?
Stop the pump, alert RN, monitor vitals
What disinfectant and/or method is commonly used for disinfecting machines?
Bleach or heat disinfection
What are the 3 types of dialysis?
Hemodialysis, Peritoneal Dialysis, CRRT (Continuous Renal Replacement Therapy)