CCHT WATER QUESTIONS AND ANSWERS

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