CCHT WATER(solved&verified) 2023/24

CHLORINE TESTING REVERSE OSMOSIS (RO) MACHINES RUNS 15 MINUTES BEFORE PERFORMING ANY TOTAL CHLORINE TESTING 100 ML THE CORRECT AMOUNT OF WATER TO COLLECT FOR TOTAL CHLORINE TESTING RPC ultra low total chlorine strips STRIPS USED FOR CHLORINE TESTING HOW LONG ARE RPC STRIPS IMMERSED IN SAMPLE WATER FOR 60 SECONDS WHEN SHOULD CHLORINE BE TESTED PRIOR TO TREATMENTS IN THE MORNING AND EVERY 3-4 HOURS WHILE PATIENTS ARE DIALYZING RPC ULTRA -LOW TOTAL CHLORINE STRIPS TEST CHLORINE IN THE WATER AFTER CARBON TANK AND POST RO 0.00 to 0.09 ppm total chlorine levels that are patient safe AND DOCUMENT IN "TMS" OR PAPER LOG FIRST SAMPLE SHOULD BE TAKEN FROM POST CARBON TANK 1 (WORKER ) SECOND SAMPLE POST RO IF CHLORINE IS NOTED POST RO DO NOT INITIATE ANY PATIENT TREATMENT, AND DOCUMENT PER FACILITY POLICY AND PROCEDURE CHLORINE BREAKTHROUGH OCCURS POST CARBON TANK 1 (WORKER), IMMEDIATE ADDITIONAL TESTING SHOULD TAKE PLACE AFTER CARBON TANK 2 (POLISHER) CARBON TANK 2 (POLISHER) IF TANK SHOWS RESULTS ABOVE THE ACTION LEVEL IMMEDIATELY STOP TREATMENTS BYPASS YOU WILL PUT PATIENTS IN THIS IF CARBON TANK 2 (POLISHER) TEST POSTIVE FOR CHLORINE , DOCUMENT TMS OR TCL- 2 LOG EVERY 2 HOURS MEDICAL DIRECTOR AFTER CHLORINE BREAKTHROUGH , WHO MUST APPROVE TO RESUME NORMAL OPERATION AND SIGN INTO TMS OR TCL -2 LOG WHO TO NOTIFY IF CHLORINE BREAKTHROUGH CLINICAL MANAGER, TECHNICAL SERVICES , MEDICAL DIRECTOR AND DIRECTOR OF OPERATIONS WATER HARDNESS WATER EXISTING THE WATER SOFTENR PARTS PER MILLION (PPM) HOW WATER HARDNESS IS MEASURED 20 PPM ACCEPTABLE LIMITS FOR WATER HARDNESS POST SOFTNER HOW OFTEN WATER SOFTNER TEST DONE THERE ARE 2 WATER HARDNESS TEST DONE DAILY, UNDER NORMAL OPERATING CONDITIONS HARDNES STRIPS TEST FOR CALCIUM AND MAGNESIUM SAMPLE CONTAINERS ARE RINSED 3 TIMES BEFORE A SAMPLE IS COLLECTED FOR TESTING CONDUCTIVITY METETR PHOENIX OR MYRON METER L PHOENIX METER/ MYRON METER L MEASURES CONDUCTIVITY , PH AND TEMPERATURE PHOENIX METER/ MYRON METER L ARE TESTED DAILY BEFORE USE RESIDUAL STRIPS IS TO TEST FOR RESIDUAL BLEACH AND MUST BE DONE AFTER DISINFECTION PROCEDURES BACTERIAL AND ENDOTOXIN TESTING PARAMETERS SHOULD BE TAKEN MONTHLY colony forming unit (CFU) THE FREQUENCY OF ROUNTINE HOLDING TANK AND WATER DISTRIBUTION LOOP DISINFECTION IS MONTHLY 20 CFU/ML ACTION LEVEL FOR BACTERIA IN PRODUCT WATER EXITING THE "RO" AND ACTION LEVEL FOR BACTERIA FOR WATER IN THE TANK, PIPING AND DISTRIBUTION LOOP 0.125 EU/ML ACTION LEVEL FOR ENDOTOXIN IN PRODUCT WATER EXITING "RO" .25 EU/ML ACTION LEVEL FOR ENDOTOXIN FOR WATER IN THE TANK , PIPING AND DISTRIBUTION LOOP CLINICAL AND TECHNICAL MANAGEMENT MUST TAKE ACTION FOR ANY LAB REPORT WITH BACTERIA AND ENDOTOXINS EXCEEDING ACTION LEVELS WATER PATHWAY IN THE DIALYSIS FACILITY BEGINS WHERE THE CITY WATER ENTERS THE FACILITY HOLDING TANK LEVEL ALARM MUST BE ON AT ALL TIMES 77 DEGREES F IS THE RECOMMENDED WATER TEMPERATURE FOR IDEAL "RO" OPERATION , WARMER WATER MAY DAMAGE THE "RO" MEMEBRANE PIPING WITHIN THE WATER TREATMENT DISTRUBTION LOOP CAN BE MADE OF PVC, STAINLESS STEEL, PEX, TEFLON BICARB JUGS A. DISINFECT WITH 1:100 BLEACH WATER AND THEN RINSED WITH "RO"WATER UNTIL NEGATIVE FOR BLEACH B. DISINFECT WEEKLY MIXING BICARBONATE FOR DIALYSIS A. MIXED PER PROCEDURE AND POLICY B. MIXING IS NOT TO EXCEED 10 MINUTES C. MUST BE USED THE SAME DAY Add or Remove Terms