DAVITA CCHT QUESTIONS AND
ACCURATE ANSWERS
is a teammate caring for one or more HbsAg+ patient allowed to care simultaneously for susceptible
patients? - Answer: NO you can only care for HbsAg patients+ and immune patients.
what is reasonable and prudent standard of care? - Answer: care which a reasonable and prudent
nurse would give under same or similar situations.
Davita's policy and procedures. - Answer: standard of care
best demonstrated practice
prima face evidence.
why cant i do it my way? - Answer: may not be within the scope of care
can lead to a civil liability.
why cant patients with kidney failure fight off infections? - Answer: kidney failure patients are
immune suppressed
HD requires prolonged access to their blood.
what is the most frequent complication? - Answer: access infections.
what is the route for HAI? - Answer: contact transmission (hands of health care workers).
what are V-Tags? - Answer: CMS regulation and interpretive guidance related to infection control.
Governs davita's p&p
includes cdc recommendations and cms regulations
what are the most common causes of morbidity and mortality among HD patients? - Answer:
vascular including bactermia.
which microorganism causes the most infections? - Answer: VRE and MRSA.
,what is the most important factor in bactermia risk in HD patients? - Answer: the use of CVC's.
when must you wash your hand? - Answer: between stations/patients
when ever visibly soiled
does wearing gloves eliminate the need for hand washing? - Answer: wearing gloves reduce the risk
of hand contamination but does not eliminate the need for hand hygiene.
HBsAg+ patients? - Answer: are hep b positive and require isolation.
must follow isolation p&p.
what is diffusion? - Answer: the movement of solutes across a semipermeable membrane from
higher concentration to lower.
what is osmosis? - Answer: the movement of fluid from lower concentration to higher.
what is ultra-filtration? - Answer: the use of both positive and negative pressure which pushes fluid
through a semipermeable membrane.
what is filtration? - Answer: fluid drips through a semipermeable membrane.
what is convection? - Answer: "solutes drag"
when solutes move with water across the semipermeable membrane.
what is the function of the dialysate? - Answer: provides concentration gradient for diffusion.
what is dialysate made up of? - Answer: dialysis quality water (RO)
acid concentration
bicarbonate
what does bicarbonate concentration do? - Answer: it acts as a buffer
, the movement of bicarb from the dialysate to the blood normalize the bodies PH
what does the acid concentration do? - Answer: replaces electrolytes and glucose
excretory functions? - Answer: functions that can be replaced by dialyzer.
fluid balance
electrolyte balance
acid base balance
waste removal
endocrine functions? - Answer: cannot be replaced by dialyzer.
function are replaced with medication
secreting erthropoietin
activating vitamin d
secreting renin
ckd-mbd phosphate bindeers
why do we document? - Answer: as proof care was rendered
its a permanent legal document
provides data collection
serves as a communication tool.
why do we preform pre-treatment data collection and when? - Answer: to catch any abnormalities
before treatment begins
prior to tx initiation.
why do we preform post-treatment data collection and when? - Answer: verifies patient is safe and
stable for discharge
evaluates effectiveness of tx
cannot be done until pt is off the machine..
when do you document? - Answer: when there is a change from baseline
ACCURATE ANSWERS
is a teammate caring for one or more HbsAg+ patient allowed to care simultaneously for susceptible
patients? - Answer: NO you can only care for HbsAg patients+ and immune patients.
what is reasonable and prudent standard of care? - Answer: care which a reasonable and prudent
nurse would give under same or similar situations.
Davita's policy and procedures. - Answer: standard of care
best demonstrated practice
prima face evidence.
why cant i do it my way? - Answer: may not be within the scope of care
can lead to a civil liability.
why cant patients with kidney failure fight off infections? - Answer: kidney failure patients are
immune suppressed
HD requires prolonged access to their blood.
what is the most frequent complication? - Answer: access infections.
what is the route for HAI? - Answer: contact transmission (hands of health care workers).
what are V-Tags? - Answer: CMS regulation and interpretive guidance related to infection control.
Governs davita's p&p
includes cdc recommendations and cms regulations
what are the most common causes of morbidity and mortality among HD patients? - Answer:
vascular including bactermia.
which microorganism causes the most infections? - Answer: VRE and MRSA.
,what is the most important factor in bactermia risk in HD patients? - Answer: the use of CVC's.
when must you wash your hand? - Answer: between stations/patients
when ever visibly soiled
does wearing gloves eliminate the need for hand washing? - Answer: wearing gloves reduce the risk
of hand contamination but does not eliminate the need for hand hygiene.
HBsAg+ patients? - Answer: are hep b positive and require isolation.
must follow isolation p&p.
what is diffusion? - Answer: the movement of solutes across a semipermeable membrane from
higher concentration to lower.
what is osmosis? - Answer: the movement of fluid from lower concentration to higher.
what is ultra-filtration? - Answer: the use of both positive and negative pressure which pushes fluid
through a semipermeable membrane.
what is filtration? - Answer: fluid drips through a semipermeable membrane.
what is convection? - Answer: "solutes drag"
when solutes move with water across the semipermeable membrane.
what is the function of the dialysate? - Answer: provides concentration gradient for diffusion.
what is dialysate made up of? - Answer: dialysis quality water (RO)
acid concentration
bicarbonate
what does bicarbonate concentration do? - Answer: it acts as a buffer
, the movement of bicarb from the dialysate to the blood normalize the bodies PH
what does the acid concentration do? - Answer: replaces electrolytes and glucose
excretory functions? - Answer: functions that can be replaced by dialyzer.
fluid balance
electrolyte balance
acid base balance
waste removal
endocrine functions? - Answer: cannot be replaced by dialyzer.
function are replaced with medication
secreting erthropoietin
activating vitamin d
secreting renin
ckd-mbd phosphate bindeers
why do we document? - Answer: as proof care was rendered
its a permanent legal document
provides data collection
serves as a communication tool.
why do we preform pre-treatment data collection and when? - Answer: to catch any abnormalities
before treatment begins
prior to tx initiation.
why do we preform post-treatment data collection and when? - Answer: verifies patient is safe and
stable for discharge
evaluates effectiveness of tx
cannot be done until pt is off the machine..
when do you document? - Answer: when there is a change from baseline
