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What is an infection? - CORRECT ANSWER-An invasion of body tissue by
organisms that are invisible to the eye.
Dialysis surfaces must be disinfected with what solution? - CORRECT
ANSWER-1:100 bleach solution
Large blood spills over 10ml must be disinfected with what solution? -
CORRECT ANSWER-1:10 bleach solution
What is Aseptic technique? - CORRECT ANSWER-Practices and procedures
performed under carefully controlled conditions. Minimizing contamination by
pathogens.
When sterile meets sterile.. - CORRECT ANSWER-It remains sterile
When sterile meets clean.. - CORRECT ANSWER-It becomes clean
When sterile or clean meet dirty.. - CORRECT ANSWER-It becomes dirty
,PPE - CORRECT ANSWER-Personal Protective Equipment. Full face shield or
mask, eyewear with full side shield, and fluid-resistant gowns and gloves.
3 blood borne pathogens that may be found in a dialysis unit - CORRECT
ANSWER-Hepatitis B, Hepatitis C, and HIV
What is an exposure incident? - CORRECT ANSWER-A bloody/body fluid
splash/spray occurring to the eyes nose or mouth, or non-intact skin.
What steps should you take if you have been exposed to the fluids? -
CORRECT ANSWER-Wash/rinse immediately. Report to CM. Seek medical
treatment.
What is hepatitis? - CORRECT ANSWER-Inflammation of the liver due to
various causes
How can the viral form of hepatitis be spread? - CORRECT ANSWER-Hep A-
via contaminated food and the oral-fecal route
Hep B & C- via exposure to blood/body fluids
Why are patients with Hep B dialyzed in isolation room? - CORRECT ANSWER-
Extremely contagious, lives outside the body for extended periods. (up to 7
days)
Why do we dialyze Hep C patients in the clinical area? - CORRECT ANSWER-
Not as contagious as Hep B. HCV is not known to survive very long outside the
body
,What blood test indicates infection with Hep B? - CORRECT ANSWER-HbsAg
test for Hep B antigen, indicates actual viral presence.
What blood test indicates the presence of immunity against Hep B? -
CORRECT ANSWER-HbsAb test for antibodies, indicates immunity against Hep
B
Which vaccine provides long-term immunity to Hep B? - CORRECT ANSWER-
Series of multiple injections of either Recombivax or Engerix
Positive Tuberculin skin test, or exposure to TB - CORRECT ANSWER-Patients
with active TB are contagious.
How is Tuberculosis spread? - CORRECT ANSWER-Droplet of nuclei produced
from infected individuals when they cough, sneeze, speak, or sing
How do you prevent TB in a dialysis clinic? - CORRECT ANSWER-Patients who
have active TB cannot dialyze in a hemodialysis clinic. 3 consecutive (-) sputum
cultures before returning to the clinic
What is VRE (Vancomycin-resistant enterococci)? - CORRECT ANSWER-Gram
negative, round-shaped bacteria that commonly live in the intestinal tract. Can
cause infection anywhere in the body, an resistant to several antibiotics.
What is MRSA (Methicillian-resistant Staphlyococcus Aureus) - CORRECT
ANSWER-"Staph". Normally found on the skin or in the nose. Harmless until
they enter the body through a cut or other wound
, What precautions should you take when caring for MRSA/VRE? - CORRECT
ANSWER-PPE, hand sanitation before next task, dedicated gown should be
worn. CVC dressings should be disposed of in red BIO. DO NOT need isolation.
Hands should be washed for 40-60 seconds.
What is C-Diff? - CORRECT ANSWER-Clostridium difficile, hand washing is
required.
Why is hand hygiene important? - CORRECT ANSWER-Single most important
infection control measure to prevent the spread of infection.
What are the anatomical structures of the urinary system in order of urine
flow? - CORRECT ANSWER-2 kidneys, 2 ureters, 1 bladder, and 1 urethra
What are the functions of a healthy kidney? - CORRECT ANSWER-Removal of
waste products (creatinine, urea, and uric acid). Regulate fluid, acid base, and
electrolytes.
What is urea? - CORRECT ANSWER-By-product of protein metabolism
What is creatinine? - CORRECT ANSWER-By-product of muscle metabolism
Uric acid - CORRECT ANSWER-Naturally in the body, as a result of the
metabolism of purine (muscle protein) that enters the body through dietary
intake.
What are the hormonal functions of the kidneys? - CORRECT ANSWER-
Production of renin to help regulate/control BP, production of erythropoietin