CLINICAL ANNUAL COMPETENCY
EXAM - FRESENIUS
j Inadequate Heparinization - The adequacy of a dialysis treatment may be compromised by
Post reinfusion and prior to disconnection - Routine post dialysis treatment documentation on the
patients dialysis treatment record should include patients blood pressure and temperature both
Chemical content - Individual acid containers should be labeled with
Notify the RN - 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) - Which of these findings noted on a safety check would indicate that an intervention is needed.
Notify the RN - 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 - Documentation and interpretation of the KECN
(clearance effective by conductivity) results can assist the staff member in
Circulation of water during the day only - Which of the following would minimize bacterial growth in the
water treatment system?
Pressure - A major factor affecting ultrafiltration is
Palpating for a thrill - Pre-treatment evaluation of an internal vascular access includes
Hypotension - 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 - 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 - Which has the most impact on dialyzer clearance?
Turn the blood pump off, clamp the venous line. - The patient exhibits signs of hemolysis. What is the
appropriate action to take?
Calcium and magnesium - Softener tanks remove
Technical must perform a functional test on the machine. - 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?
Low clearance, hold heparin dose - The following KECN's are noted: the results indicate a
EXAM - FRESENIUS
j Inadequate Heparinization - The adequacy of a dialysis treatment may be compromised by
Post reinfusion and prior to disconnection - Routine post dialysis treatment documentation on the
patients dialysis treatment record should include patients blood pressure and temperature both
Chemical content - Individual acid containers should be labeled with
Notify the RN - 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) - Which of these findings noted on a safety check would indicate that an intervention is needed.
Notify the RN - 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 - Documentation and interpretation of the KECN
(clearance effective by conductivity) results can assist the staff member in
Circulation of water during the day only - Which of the following would minimize bacterial growth in the
water treatment system?
Pressure - A major factor affecting ultrafiltration is
Palpating for a thrill - Pre-treatment evaluation of an internal vascular access includes
Hypotension - 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 - 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 - Which has the most impact on dialyzer clearance?
Turn the blood pump off, clamp the venous line. - The patient exhibits signs of hemolysis. What is the
appropriate action to take?
Calcium and magnesium - Softener tanks remove
Technical must perform a functional test on the machine. - 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?
Low clearance, hold heparin dose - The following KECN's are noted: the results indicate a
