| A | B |
|---|
| What is the most common transmission route for HAIs? | contact transmission |
| What is the reason that dialysis patients are at increased risk for acquiring a HAI at the facility? | CKD pts are immunosuppressed, vulnerable to infections, infection is the 2nd common cause of death in dialysis pts. |
| what contributes to HD pts being placed at increased risk for acquiring an HAI at the facility? | HD requires prolonged access to the pts blood, especially using central venous catheters, increased risk of complications. |
| what is the correct procedure for your hands whe yu have casual contact with a pt? | gloves are unncecessary for casual social contact. Hand hygiene is required after every direct contact with a pt and between pt contacts, even if casual contact. |
| what is the most important intervention to prevent HAIs? | hand hygiene |
| what does osha do | requires employers to provide workers with a safe workplace |
| what does CMS do | concerned with patient care and patient safety |
| what are V tags | they are state specific regulations to be met within a condition such as infection control |
| why are V tags important | they provide interpretive guidance for each regulation and citing deficiencies by tag # |
| hand hygiene with c.Diff | handwashing with soap and water |
| what is the most common infectious complication in HD pts | bacterial vascular access infections |
| what organisms cause the most common infections in HD pts | MRSA |
| MRSA | viable on surfaces for days |
| what is the importance of wearing gloves | reduces the risk of hand contamination and prevents the transfer of organisms already on hands to a pt |
| why do you need to perform hand hygiene before and after wearing gloves | goves are not impervious andhave microscopic spores |
| why can use clean sinks for hand washing | teammates and pts |
| is a cleaned dialysis machine considered a clean area | no |
| how can you tell when an area or sink is clean or dirty in your facility | it is clearly labeled with a clean or dirty sign |
| what is strikethrough of an external pressure transducer | it is when fluid could have entered the machine and contaminated the internal pressure transducer protector providing a reservoir for microoganisms |
| why is a strike through a concern | it could cause subsequent patient blood infections |
| when should sharps containers be replaced | when they are 3/4 full |
| which HBV is tested monthly | HBSAG/hepatitis B surface antigen |
| HBsAg | hepatitis B surface antigen |
| HBsAb (anti-HBs) | hepatitis B surface antibody |
| HBcAb (anti-HBc) | hepatitis B core antibody |
| how do surveyors verify teammates have completed infection control training and education | documentation of infection control training in the teammates file or transcript |
| you can care for HBsAg positive with what pts | Hepatitis B immune patients at the same time |
| you can take care of Hepatitis B susceptible patients | those in process of receiving the vaccination at the same time |
| name 3 strategies to decrease the risk of infection when working with a catheter (CVC) | facemasks, gloves, minimize open lumen exposure |
| what is the total proportion of dialysate used at davita? | 45x |
| what the two most frequent potassium used | 2.0 K+, 3.0 K+ |
| which part of the kidney functions similarly to the dialyszers SMP to provide filtration and removal of fluids and toxins | glomerulus |
| what are the two waste products removed by dialysis that are monitored with monthly labs | blood urea nitrogen (BUN) and creatinine |
| the manual conductivity valuse must match +/-0.4 mS on the | fresenius 2008K and K2 dialysis delivery system displayed conductivity |
| checking independent conductivity is not required when using hte | fresenius 2008T or T Blue star models |
| the B Braun machine does not require manual conductivity testing by conductivity must be verified on the | ENDLF machine screen |
| what is the safe dialysate pH range | between 6.9 and 7.6 |
| how often are dialysis machine alarm tests performed | before the initiation of each patient treatment |
| why is it important for patient care teammates to know when the water treatment system disinfection was performed | becuse the end to end disinfection process will also introduce teh disinfectant solution to the dialysis delievery systems through their water inlet lines |
| following recirculation, how long can a dialyzer and blood lines be set up | 6 hours |
| why are the dialyzer and blood lines not used for a dialysis treatment once recirculating for longer than 6 hours | potential for bacterial growth |
| what is the correct procedure for residual bleach testing after the chemical disinfection of loops, and equipment fluid pathways | should be performed after bleach disinfection and prior to equipment use |
