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4 reasons we document in the medical record - Correct Answers-1. proof that care was
rendered
2. provides data continuity and planning of patient care
3. permanent legal record
4. communication tool
Air embolism intervention - Correct Answers-STOP PUMP
lay patient on left side trendelenburg
Arterial Pressure High alarm causes - Correct Answers-separation of tubing
at what time are medications containing a preservative discarded? - Correct Answers-28
days
BESTIPS Complications and Prevention: Thrombosis - Correct Answers-if using hemostatic
sponges, we must remove before sending patient home and cover with sterile gauze
Cannulation site prep - Correct Answers-use a tourniquet during cannulation on ALL AV
fistula unless documentation for otherwise
chlorine in water used for hemodialysis causes - Correct Answers-hemolysis which releases
potassium
Chlorine/chloramine testing - Correct Answers-can't be more than 4 hours apart
Conductivity and pH alarm causes - Correct Answers-no concentrate
improper bicarb
calcium or magnesium precipitate
line of filter occlusion from debris
improper calibration
, Consequences of organ stunning - Correct Answers-hypotension can have many adverse
affects including impaired tissue profusion of vital organs and organ injury
Convection - Correct Answers-(solutes and fluid)
solutes are dragged across the semipermeable membrane along with fluid
Davita Quality Index - Correct Answers-the purpose of selecting the component measure for
DQI is to encourage continuous improvement across a broad range of disease management
processes
Dialysis disequilibrium syndrome prevention - Correct Answers-don't skip treatments
-have to go to hospital to get dialyzed if missed more than two treatments in a row
Diffusion - Correct Answers-(solutes)
particles move from an area of high concentration to an area of low concentration
DQI success is achieved by - Correct Answers--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)
Examples of what not to say to a surveyor - Correct Answers-I was never told that
nobody ever told me
Explain a reason for Immediate jeopardy (IJ) - Correct Answers-insufficient or inaccurate
chlorine checks
explain the four AVF evaluations for maturation based on the KDOQI rule of 6's - Correct
Answers-rules of 6's proved guidelines for a FISTULA
- 6-8 weeks post op
-blood flow of 600
-diameter of 0.6 cm
-can't be deeper than 0.6 cm below the skin