DAVITA PCT FINAL EXAM
What is important when monitoring weight and BP for acute patients? - answer keep patients wet to avoid
hypotensive episodes
What do you need to consider in regards to acute patents vascular access? - answer Usually have a CVC
- follow policy and procedure to prevent infections
Why is it important to know what caused your patient's CKD? - answer to inquire about possible problems
during data collection and assessments
Kt/V: What is K? - answer clearance of urea
What treatment factors decrease K? - answer not waiting 3-5 minutes after giving heparin with treatment
initiation to prevent clotting
What factors influence V (volume)? - answer sex, age, weight, height, amputations
Needle gauge and suggested BFR - answer 17: 200-250
16: 250-350
15: 350-450
14: >450
What do you do if a patient wants to get off early? - answer educate and document, still draw lab on habitual
patients, MUST NOTIFY NURSE
Lab draw mistakes that would falsely increase Kt/V - answer not waiting the full 15 seconds to draw the BUN
What is the role of the PCT prior to treatment initiation? - answer DATA COLLECTION
Squeezing the BP cuff can damage the machine: T/F - answer True
4 reasons we document in the medical record - answer 1. proof that care was rendered
2. provides data continuity and planning of patient care
3. permanent legal record
4. communication tool
Pre-treatment patient data collection/assessment - answer Data collection: before initiation
Assessment: 30 minutes into treatment
Post treatment data collection/assessments - answer after treatment
-NOT DURING RINSEBACK
What are possible consequences of poor or incomplete documentation - answer attack on your care
What are the six items included in charting administered medications? - answer REASON FOR
ADMINISTERING
, What are the 5 W's to be used when completing an AOR - answer who should report an AOR
what type of incident
when should it be reported
where should they be reported
why
What are the four consequences of sodium loading during dialysis? - answer Thirsty
Increase Fluid Intake
Increased intradialytic weight gain
Increased ultrafiltration rate
What is the purpose of UF profiling? - answer fit to the patient to prevent crashing and allow for vascular refill
Why do we measure the pH in the dialysate - answer to verify acid-base balance is within an acceptable range
Conductivity and pH alarm causes - answer no concentrate
improper bicarb
calcium or magnesium precipitate
line of filter occlusion from debris
improper calibration
Temperature alarm causes - answer lower temperature, increases BP
hemolysis occurs at 42 degrees calcium which releases potassium
Power - answer the appropriate intervention is to remove venous line from air detector clamp before starting
hand crank
Arterial Pressure High alarm causes - answer separation of tubing
Venous pressure high alarm causes - answer kink in tubing
infiltration
clotting in the venous drip chamber
Davita Quality Index - answer the purpose of selecting the component measure for DQI is to encourage
continuous improvement across a broad range of disease management processes
DQI success is achieved by - answer -managing individual patients first and allowing scores to follow
-knowing each team members role and improving DQI scores
-using the CQI (continuous quality improvement) process to help identify trends and make improvements
(answer all of the above)
Importance of P&P - answer when supervising non-licensed, assistive personnel, it is the responsibility of the
licensed nurse to ensure these teammates also meet the standard of care
What is important when monitoring weight and BP for acute patients? - answer keep patients wet to avoid
hypotensive episodes
What do you need to consider in regards to acute patents vascular access? - answer Usually have a CVC
- follow policy and procedure to prevent infections
Why is it important to know what caused your patient's CKD? - answer to inquire about possible problems
during data collection and assessments
Kt/V: What is K? - answer clearance of urea
What treatment factors decrease K? - answer not waiting 3-5 minutes after giving heparin with treatment
initiation to prevent clotting
What factors influence V (volume)? - answer sex, age, weight, height, amputations
Needle gauge and suggested BFR - answer 17: 200-250
16: 250-350
15: 350-450
14: >450
What do you do if a patient wants to get off early? - answer educate and document, still draw lab on habitual
patients, MUST NOTIFY NURSE
Lab draw mistakes that would falsely increase Kt/V - answer not waiting the full 15 seconds to draw the BUN
What is the role of the PCT prior to treatment initiation? - answer DATA COLLECTION
Squeezing the BP cuff can damage the machine: T/F - answer True
4 reasons we document in the medical record - answer 1. proof that care was rendered
2. provides data continuity and planning of patient care
3. permanent legal record
4. communication tool
Pre-treatment patient data collection/assessment - answer Data collection: before initiation
Assessment: 30 minutes into treatment
Post treatment data collection/assessments - answer after treatment
-NOT DURING RINSEBACK
What are possible consequences of poor or incomplete documentation - answer attack on your care
What are the six items included in charting administered medications? - answer REASON FOR
ADMINISTERING
, What are the 5 W's to be used when completing an AOR - answer who should report an AOR
what type of incident
when should it be reported
where should they be reported
why
What are the four consequences of sodium loading during dialysis? - answer Thirsty
Increase Fluid Intake
Increased intradialytic weight gain
Increased ultrafiltration rate
What is the purpose of UF profiling? - answer fit to the patient to prevent crashing and allow for vascular refill
Why do we measure the pH in the dialysate - answer to verify acid-base balance is within an acceptable range
Conductivity and pH alarm causes - answer no concentrate
improper bicarb
calcium or magnesium precipitate
line of filter occlusion from debris
improper calibration
Temperature alarm causes - answer lower temperature, increases BP
hemolysis occurs at 42 degrees calcium which releases potassium
Power - answer the appropriate intervention is to remove venous line from air detector clamp before starting
hand crank
Arterial Pressure High alarm causes - answer separation of tubing
Venous pressure high alarm causes - answer kink in tubing
infiltration
clotting in the venous drip chamber
Davita Quality Index - answer the purpose of selecting the component measure for DQI is to encourage
continuous improvement across a broad range of disease management processes
DQI success is achieved by - answer -managing individual patients first and allowing scores to follow
-knowing each team members role and improving DQI scores
-using the CQI (continuous quality improvement) process to help identify trends and make improvements
(answer all of the above)
Importance of P&P - answer when supervising non-licensed, assistive personnel, it is the responsibility of the
licensed nurse to ensure these teammates also meet the standard of care
