Continuing Education
What are some of the responsibilities & requirements of the medical director of a
dialysis facility?
1. Writing policies & procedures that show compliance with the standards of the
local medical community.
2. Accessing fistulas or grafts prior to the beginning of the dialysis session.
3. Being physically present in the dialysis unit whenever a patient is receiving a
dialysis treatment.
4. Being knowledgeable of & and responsible for the integrity of the water
treatment system in the facility. - ans-4. Being knowledgeable of & responsible for
the integrity of the water treatment system in the facility.
Prior to the beginning of the dialysis, what must the physician order include?
1. Specific dialyzer
2. Blood flow rate
3.Duration of dialysis
4. Three units of packed red blood cells - ans-1,2 & 3
To be eligible to sit for the Certified Clinical Hemodialysis Technician - Advanced
(CCHT- A) exam, the technician must have which of the following?
1. Hold another national certification such as CCHT
2. Have been employed as a hemodialysis tech for 3 yrs of continuous employment
3.Have worked at least 5000 hours as a CCHT
4. Have been eligible for & paid to take the exam within the past 12 months. - ans-1
&3
,What abilities are required of a dialysis tech?
1.Some understanding of human anatomy & physiology & the pathophysiology of
chronic kidney disease (CKD)
2.The knowledge to administer intravenous medication if an emergency arises
3.Full understanding of the principles of dialysis and treatment complications
4.Math skills - ans-1,3 & 4
Which of the following credentialing certification programs offer the dialysis tech the
most cognitive content related to water treatment principles?
1. Certified clinical nephrology tech
2. Certified hemodialysis tech
3. Certified clinical hemodialysis tech
4. Certified biomedical nephrology technologist - ans-4. Certified biomedical
nephrology technologist
Which of the following statements about informed consent for treatment is
accurate?
1. A written consent for dialysis includes consent for placement of an access
catheter.
2. A renal patient who has been admitted to the hospital with sepsis has given
implied consent upon signing the initial admission paperwork.
3. Two consents are needed for dialysis; one for the dialysis itself & one for access
procedures or modifications.
4. In an emergency, such as aspirin overdose, it is not necessary to have consent
prior to beginning hemodialysis. - ans-3. Two consents are needed for dialysis; one
for the dialysis itself & one for access procedures or modifications.
If a patient chooses to terminate dialysis, what should the renal staff do?
1. Call the legal team for the hospital/clinic and speak with an attorney
2. Keep the patient on the clinical unit until he or she can talk with the physician
and determine if a court order is needed
3.Realize that is well within a patient's rights to choose to terminate dialysis
, 4.Notify the physician and verify that all members of the health care team agree
with the decision - ans-3. Realize that is well within a patient's rights to choose to
terminate dialysis
Who was the first person to use the term dialysis?
1.John Abel
2.Thomas Graham
3.Leonard Rowntree
4.Bernard Turner - ans-2.Thomas Graham
What was the primary anticoagulant used in the first artificial kidney?
1.Salicylic acid
2.Hirudin
3. Low-molecular weight heparin
4.Warfarin - ans-2.Hirudin
Dr. William Kolff created the first dialyzer suitable for human use (rotating drum
dialyzer) in 1943. What material was used to construct the hollow tubes on this
device?
1.Rubber
2.Teflon
3.Cellophane
4.Glass - ans-3.Cellophane
The first arteriovenous (AV) shunt for chronic renal patients was placed:
1. Via surgical cutdown
2. Externally, using teflon tubes
3.Internally in the carotid vessels
4. Intravascularly, using 4 inch catheters - ans-2.Externally, using teflon tubes