CLINICAL ANNUAL COMPETENCY EXAM
(FRESENIUS)
The adequacy of a dialysis treatment may be compromised by
Inadequate Heparinization
Routine post dialysis treatment documentation on the patients dialysis
treatment record should include patients blood pressure and temperature both
Post reinfusion and prior to disconnection
Individual acid containers should be labeled with
Chemical content
The patient complains of pain at the catheter exit site. What would the PCT do
first?
Notify the RN
Which of these findings noted on a safety check would indicate that an
intervention is needed.
Hemosafe is in place and secure on the arterial line (hemosafe clamp should be
secured on the venous line)
The patient presents to the dialysis center with a pulse rate of 44/bpm but
doesn't appear to be in distress. What should be the dialysis technicians
immediate action?
Notify the RN
Documentation and interpretation of the KECN (clearance effective by
conductivity) results can assist the staff member in
Assessment for possible clotting in the dialyzer
Which of the following would minimize bacterial growth in the water treatment
system?
Circulation of water during the day only
A major factor affecting ultrafiltration is
Pressure
Pre-treatment evaluation of an internal vascular access includes
Palpating for a thrill
A patient having a dialysis treatment complains of feeling dizzy, and begins to
yawn. These symptoms are most likely to indicate that the patient has
Hypotension
If a blood leak detector alarms a second time and no visible blood is noted,
what should the PCT do next?
Check the dialysate effluent with a blood leak test indicator
, Which has the most impact on dialyzer clearance?
Surface area of the dialyzer
The patient exhibits signs of hemolysis. What is the appropriate action to
take?
Turn the blood pump off, clamp the venous line.
Softener tanks remove
Calcium and magnesium
During dialysis a patient has a cardiac arrest. Which action should be
completed on the dialysis machine before the machine is used by another
patient?
Technical must perform a functional test on the machine.
The following KECN's are noted: the results indicate a
Time KECN. TIME KECN
00:15. 268. 01:45. 243
00:45. 254. 02:15. 240
01:15. 242. 02:45. 238
Low clearance, hold heparin dose
The arterial needle is placed
Either with or against the flow of blood
An important factor in achieving adequacy during machine set up is
Priming the dialyzer venous end up
The FMC program that utilizes technology to improve our patient care is
Ultra Care
The component of the dialysate that helps treat acidosis is
Bicarbonate
The PCT notices the patient yawning toward the end of treatment. The PCT
should take which action immediately
Check the patient blood pressure
Several patients with normal pre-dialysis temperatures develop sudden chills
and a spike in temperature. This situation is most likely caused by
Presence of endotoxins in the dialysate
What is the correct blood flow rate for priming the dialyzer
150 ml/min
What is NOT true when cannulating a new AVF?
Use of a tourniquet is optional when cannulating a new AVF
If bicarbonate concentrate jugs are used, the frequency for disinfecting jugs is
Weekly
(FRESENIUS)
The adequacy of a dialysis treatment may be compromised by
Inadequate Heparinization
Routine post dialysis treatment documentation on the patients dialysis
treatment record should include patients blood pressure and temperature both
Post reinfusion and prior to disconnection
Individual acid containers should be labeled with
Chemical content
The patient complains of pain at the catheter exit site. What would the PCT do
first?
Notify the RN
Which of these findings noted on a safety check would indicate that an
intervention is needed.
Hemosafe is in place and secure on the arterial line (hemosafe clamp should be
secured on the venous line)
The patient presents to the dialysis center with a pulse rate of 44/bpm but
doesn't appear to be in distress. What should be the dialysis technicians
immediate action?
Notify the RN
Documentation and interpretation of the KECN (clearance effective by
conductivity) results can assist the staff member in
Assessment for possible clotting in the dialyzer
Which of the following would minimize bacterial growth in the water treatment
system?
Circulation of water during the day only
A major factor affecting ultrafiltration is
Pressure
Pre-treatment evaluation of an internal vascular access includes
Palpating for a thrill
A patient having a dialysis treatment complains of feeling dizzy, and begins to
yawn. These symptoms are most likely to indicate that the patient has
Hypotension
If a blood leak detector alarms a second time and no visible blood is noted,
what should the PCT do next?
Check the dialysate effluent with a blood leak test indicator
, Which has the most impact on dialyzer clearance?
Surface area of the dialyzer
The patient exhibits signs of hemolysis. What is the appropriate action to
take?
Turn the blood pump off, clamp the venous line.
Softener tanks remove
Calcium and magnesium
During dialysis a patient has a cardiac arrest. Which action should be
completed on the dialysis machine before the machine is used by another
patient?
Technical must perform a functional test on the machine.
The following KECN's are noted: the results indicate a
Time KECN. TIME KECN
00:15. 268. 01:45. 243
00:45. 254. 02:15. 240
01:15. 242. 02:45. 238
Low clearance, hold heparin dose
The arterial needle is placed
Either with or against the flow of blood
An important factor in achieving adequacy during machine set up is
Priming the dialyzer venous end up
The FMC program that utilizes technology to improve our patient care is
Ultra Care
The component of the dialysate that helps treat acidosis is
Bicarbonate
The PCT notices the patient yawning toward the end of treatment. The PCT
should take which action immediately
Check the patient blood pressure
Several patients with normal pre-dialysis temperatures develop sudden chills
and a spike in temperature. This situation is most likely caused by
Presence of endotoxins in the dialysate
What is the correct blood flow rate for priming the dialyzer
150 ml/min
What is NOT true when cannulating a new AVF?
Use of a tourniquet is optional when cannulating a new AVF
If bicarbonate concentrate jugs are used, the frequency for disinfecting jugs is
Weekly
