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What is an infection? - An invasion of body tissue by organisms that are invisible to the eye.
Dialysis surfaces must be disinfected with what solution? - 1:100 bleach solution
Large blood spills over 10ml must be disinfected with what solution? - 1:10 bleach solution
What is Aseptic technique? - Practices and procedures performed under carefully controlled
conditions. Minimizing contamination by pathogens.
When sterile meets sterile.. - It remains sterile
When sterile meets clean.. - It becomes clean
When sterile or clean meet dirty.. - It becomes dirty
PPE - 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 - Hepatitis B, Hepatitis C, and HIV
What is an exposure incident? - 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? - Wash/rinse immediately.
Report to CM. Seek medical treatment.
What is hepatitis? - Inflammation of the liver due to various causes
How can the viral form of hepatitis be spread? - 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? - Extremely contagious, lives outside
the body for extended periods. (up to 7 days)
Why do we dialyze Hep C patients in the clinical area? - 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? - HbsAg test for Hep B antigen, indicates actual
viral presence.
What blood test indicates the presence of immunity against Hep B? - HbsAb test for antibodies,
indicates immunity against Hep B
Which vaccine provides long-term immunity to Hep B? - Series of multiple injections of either
Recombivax or Engerix
Positive Tuberculin skin test, or exposure to TB - Patients with active TB are contagious.
How is Tuberculosis spread? - Droplet of nuclei produced from infected individuals when they
cough, sneeze, speak, or sing
, How do you prevent TB in a dialysis clinic? - 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)? - 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) - "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? - 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? - Clostridium difficile, hand washing is required.
Why is hand hygiene important? - 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? - 2 kidneys, 2
ureters, 1 bladder, and 1 urethra
What are the functions of a healthy kidney? - Removal of waste products (creatinine, urea, and
uric acid). Regulate fluid, acid base, and electrolytes.
What is urea? - By-product of protein metabolism