FRESENIUS CLINICAL ANNUAL COMPETENCY EXAM

Inadequate Heparinization - Answer- The adequacy of a dialysis treatment may be compromised by Post reinfusion and prior to disconnection - Answer- Routine post dialysis treatment documentation on the patients dialysis treatment record should include patients blood pressure and temperature both Chemical content - Answer- Individual acid containers should be labeled with Notify the RN - Answer- The patient complains of pain at the catheter exit site. What would the PCT do first? Hemosafe is in place and secure on the arterial line (hemosafe clamp should be secured on the venous line) - Answer- Which of these findings noted on a safety check would indicate that an intervention is needed. Notify the RN - Answer- 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? Assessment for possible clotting in the dialyzer - Answer- Documentation and interpretation of the KECN (clearance effective by conductivity) results can assist the staff member in Circulation of water during the day only - Answer- Which of the following would minimize bacterial growth in the water treatment system? Pressure - Answer- A major factor affecting ultrafiltration is Palpating for a thrill - Answer- Pre-treatment evaluation of an internal vascular access includes Hypotension - Answer- 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 Check the dialysate effluent with a blood leak test indicator - Answer- If a blood leak detector alarms a second time and no visible blood is noted, what should the PCT do next? Surface area of the dialyzer - Answer- Which has the most impact on dialyzer clearance?