DaVita RISE Module 3 PCT
Training questions with
complete verified solutions
Labeling & Expiration of Multi-dose medication vials - answer Must
be labeled with the initials of the person opening the vial and the
date it was opened (must be discarded within 28 days after opening
except when the manufacturer specifies differently such as Epogen
at 21 days
Needle/Syringe/Vial of Multi-dose medication vials - answer The vial
may be entered more than once but requires a new sterile needle
and syringe to puncture each medication vial to avoid pooling of
medication from different vials
Regarding single-dose medication vials: - answer Must be used for
only one patient
Each vial should only be entered once and then discarded
The same syringe may be used to enter up to two single use vials of
the same medication and concentration to constitute the prescribed
patient dose
What are the six rights of medication administration? - answer Time
Route
Amount
Medication
Patient
Documentation
What are the four medications that PCTs can administer per DaVita
P&P? - answer Normal Saline
,Heparin (if allowed per state regulations)
Lidocaine
Topical Anesthetic Spray
At what time are medications containing a preservative discarded? -
answer 28 days (except when the manufacturer specifies differently
such as Epogen multidose vial (MDV) at 21 days)
What size needle with the appropriately sized syringe should be
used when drawing up heparin? - answer 21g x 1in
Why would the nephrologist order a formulary exception of
Citrasate or CitraPure dialysate concentrate? - answer To use as
part of anticoagulation therapy during the dialysis treatment when
heparin is contraindicated
How do you verify your needle is not in the access when
administering Lidocaine? - answer Aspiration (pull back) of syringe
plunger and you do not see blood in the syringe
How do you administer Topical Anesthetic Spray? - answer Wash
Access site
Clean site per P&P
Spray topical anesthetic to each cannulation site for 4-10 seconds
from a distance of 3-7 inches
the skin will begin to turn white
DONT FROST THE SKIN - Numbing effect occurs with blanching
What is the time frame during which single-use medications should
be prepared and administered? - answer Within 4 hours (unless your
state specifies another time limit)
, What are two reasons for water treatment? - answer Prevent
equipment damage
Patient Safety
Aluminum in water used dialysis causes - answer Anemia
Bone Disease
Nausea
Vomiting
Chlorine in water used hemodialysis causes - answer Hemolysis
Excess Calcium and Sodium in water used dialysis causes - answer
Hypertension
Excess calcium and magnesium in water used for dialysis causes -
answer Muscle weakness
What does the RO remove? - answer Organic and inorganic materials
bacteria
endotoxins
What are two concerns with using DI Tanks? - answer Exhaust
quickly
When exhausted they dump/release previously removed ions back
into the water
Response to Final Water Quality Alarm - answer Bypass
Notify Charge Nurse/FA/Biomed/Medical Director
If not restored must terminate treatments and complete REM
Training questions with
complete verified solutions
Labeling & Expiration of Multi-dose medication vials - answer Must
be labeled with the initials of the person opening the vial and the
date it was opened (must be discarded within 28 days after opening
except when the manufacturer specifies differently such as Epogen
at 21 days
Needle/Syringe/Vial of Multi-dose medication vials - answer The vial
may be entered more than once but requires a new sterile needle
and syringe to puncture each medication vial to avoid pooling of
medication from different vials
Regarding single-dose medication vials: - answer Must be used for
only one patient
Each vial should only be entered once and then discarded
The same syringe may be used to enter up to two single use vials of
the same medication and concentration to constitute the prescribed
patient dose
What are the six rights of medication administration? - answer Time
Route
Amount
Medication
Patient
Documentation
What are the four medications that PCTs can administer per DaVita
P&P? - answer Normal Saline
,Heparin (if allowed per state regulations)
Lidocaine
Topical Anesthetic Spray
At what time are medications containing a preservative discarded? -
answer 28 days (except when the manufacturer specifies differently
such as Epogen multidose vial (MDV) at 21 days)
What size needle with the appropriately sized syringe should be
used when drawing up heparin? - answer 21g x 1in
Why would the nephrologist order a formulary exception of
Citrasate or CitraPure dialysate concentrate? - answer To use as
part of anticoagulation therapy during the dialysis treatment when
heparin is contraindicated
How do you verify your needle is not in the access when
administering Lidocaine? - answer Aspiration (pull back) of syringe
plunger and you do not see blood in the syringe
How do you administer Topical Anesthetic Spray? - answer Wash
Access site
Clean site per P&P
Spray topical anesthetic to each cannulation site for 4-10 seconds
from a distance of 3-7 inches
the skin will begin to turn white
DONT FROST THE SKIN - Numbing effect occurs with blanching
What is the time frame during which single-use medications should
be prepared and administered? - answer Within 4 hours (unless your
state specifies another time limit)
, What are two reasons for water treatment? - answer Prevent
equipment damage
Patient Safety
Aluminum in water used dialysis causes - answer Anemia
Bone Disease
Nausea
Vomiting
Chlorine in water used hemodialysis causes - answer Hemolysis
Excess Calcium and Sodium in water used dialysis causes - answer
Hypertension
Excess calcium and magnesium in water used for dialysis causes -
answer Muscle weakness
What does the RO remove? - answer Organic and inorganic materials
bacteria
endotoxins
What are two concerns with using DI Tanks? - answer Exhaust
quickly
When exhausted they dump/release previously removed ions back
into the water
Response to Final Water Quality Alarm - answer Bypass
Notify Charge Nurse/FA/Biomed/Medical Director
If not restored must terminate treatments and complete REM
