SOLUTIONS RATED A+
✔✔how long should you wash your hands with soap and water for? - ✔✔40-60 seconds
✔✔how long should you rub your hands with alcohol based rub for? - ✔✔20-30 seconds
✔✔PPE requirements when on the treatment floor - ✔✔-gown
-face shield/protective eyewear
-mask
-gloves
✔✔when to change gloves and perform hand hygiene - ✔✔-going from dirty area to
clean area
-going from machine to patient or machine to machine
-if gloves are visibly soiled
-working with c. diff patient
✔✔precautions to take in dialysis - ✔✔-approach ALL patients as infectious/sanitize
everything
-all blood, fluid, tissues, needles, sharps ARE contaminated
-all used treatment equipment/supplies ARE contaminated
✔✔hepatitis b characteristics - ✔✔-HIGHLY contagious virus that affects the liver
-spread through infected blood and body fluids
-can live for 7 days on surfaces
-often spread through cross contamination
-hep b Ab > 10 = immunity
-hep b Ab < 10 = susceptible
✔✔how to stop spread of hepatitis b - ✔✔-test for hepatitis b antigen
-patients who are immune can be placed in buffer zone (chairs outside the isolation
room)
-techs and nurses can ONLY work with hepatitis b immune patients if caring for a
hepatitis b positive patient
-place positive patients in the isolation (ISO) room
✔✔disinfection process and bleach - ✔✔-1:100 bleach = 1 part bleach to 99 parts water
-1:10 bleach = 1 part bleach to 9 parts water
-store bleach in opaque containers and verify solution with residual strips
-bleach is good for 24 hours
✔✔3 d's of dialysis - ✔✔DISCARD: disposable items such as gauze and syringes
DISINFECT: non disposable items that can be disinfected such as BP cuffs,
stethoscope, and thermometers
, DEDICATE: non disposable items that can't be disinfected such as adhesive tape
✔✔what is the process of cleaning a blood spill of less than 10ml? - ✔✔-hand hygiene
and put on gloves
-soak cloth in 1:100 bleach
-wipe down blood spill
-discard cloth
-repeat process as necessary
✔✔what is the process of cleaning a blood spill of more than 10 ml? - ✔✔-hand hygiene
and put on gloves
-soak cloth in 1:10 bleach
-clean the blood spill
-discard cloth and perform hand hygiene
-apply new gloves
-soak a cloth in 1:100 bleach and wipe down remainder of blood spill
-repeat steps as necessary
✔✔what makes up the concentrate used in dialysis? - ✔✔acid, bicarb, and RO water
✔✔what is the function of the diasafe filter located on the back of the machine? -
✔✔delivers ultrapure dialysate
✔✔how fate the blood flow moves; blood flow rate - ✔✔BFR
✔✔dialysate flow rate; how fast dialysate moves - ✔✔DFR
✔✔ultrafiltration - ✔✔UF
✔✔ultrafiltration rate; how fast fluid moves - ✔✔UFR
✔✔Conductivity - ✔✔the ability of a fluid to carry an electrical charge
✔✔pH - ✔✔measure of how many acid/base ions are in a solution
✔✔Temperature - ✔✔too warm (hemolysis) too cold (crenation)
✔✔Osmosis - ✔✔movement of a solvent (water) from low concentration to high
concentration across a semi permeable membrane
✔✔Diffusion - ✔✔movement of solutes across a semi permeable membrane from an
area of high concentration to low