Davita Exam Module 2 Questions &
Answers(RATED A)
The reasonable and prudent standard of care for nephrology nursing key concepts: (6) -
ANSWER -care which a reasonable and prudent nephrology nurse would give under the
same or similar circumstances
-actions a reasonable and prudent nephrology nurse would do, as well as actions to
avoid doing
-nephrology nursing is keyed to this speciality and the skills and knowledge expected of
a nephrology nurse (priming)
-following standards of care makes the care given defensible and avoids negligence
-when supervising non-licensed, assistive personnel, it is the responsibility of the
licensed nurse to ensure these teammates also meet the standard of care
what role does davitas policy and procedure play - ANSWER -standard of care
-best demonstrated practice (BDP
-prima facie evidence (at first sight)
what are the risks of doing it your way - ANSWER -negligence
-proximate cause
-damages ($)
4 reasons for documentation - ANSWER - proof that care was rendered
- provides continuity
- permanent legal record
-communication tool
6 occurrences when to chart? - ANSWER 1. baseline assessment change
2. change in condition
3. procedure or treatment
4.medication and response
5.patient teaching
6. care plan review and interventions
What does smart communication stand for? - ANSWER S - simple
M - meaningful
A - actual
R - read
T - teach
What is the difference between data collection and assessment - who does what? -
ANSWER RNs do the assessments while PCTs or LVNs do the data collection part.
, What is the role of the licensed nurse prior to treatment initiation? - ANSWER
Assessment: Listening to lung sounds and edema number scale
What is the role of the PCT prior to treatment initiation? - ANSWER Machine setup, pre-
treatment vitals, any concerns or changes in patient by asking them
When should pre-treatment data collection/assessment be documented? AKI PT? -
ANSWER Data collection: Prior to TX
Assessment: within 1 hour of TX initiation
AKI PT: Prior to TX
Possible consequences of poor/incomplete documentation? - ANSWER - open to
interpretation
- RN vulnerable to attack on care given (legal)
6 items included in charting med administration - ANSWER - Med & Dose
- Date & Time
- Route
- Reason
- Patient response
- Signature of TM administering
How to document late entries? - ANSWER - Make appropriate entry ASAP
- sign off and acknowledge late
- Take new set of vitals and put "late entry, pt stable, vitals rechecked"
- Never backdate a late entry
Explain Document charting errors - ANSWER - Draw single line through entry and note
"error in entry"
- Date, signature, credentials (RN)
- Chart correct info
Normal heart rate? - ANSWER 60-100 bpm
Normal pre-treatment blood pressure? - ANSWER 140/90 or less
Normal respiration rate? - ANSWER below 24
normal temperature ? - ANSWER 97.1
Three words DaVita uses in order to easily recall the pre-treatment AVF/AVG access
evaluation are: - ANSWER Look
Listen
Feel
6 "W's" when completing a REM - ANSWER What happened
Answers(RATED A)
The reasonable and prudent standard of care for nephrology nursing key concepts: (6) -
ANSWER -care which a reasonable and prudent nephrology nurse would give under the
same or similar circumstances
-actions a reasonable and prudent nephrology nurse would do, as well as actions to
avoid doing
-nephrology nursing is keyed to this speciality and the skills and knowledge expected of
a nephrology nurse (priming)
-following standards of care makes the care given defensible and avoids negligence
-when supervising non-licensed, assistive personnel, it is the responsibility of the
licensed nurse to ensure these teammates also meet the standard of care
what role does davitas policy and procedure play - ANSWER -standard of care
-best demonstrated practice (BDP
-prima facie evidence (at first sight)
what are the risks of doing it your way - ANSWER -negligence
-proximate cause
-damages ($)
4 reasons for documentation - ANSWER - proof that care was rendered
- provides continuity
- permanent legal record
-communication tool
6 occurrences when to chart? - ANSWER 1. baseline assessment change
2. change in condition
3. procedure or treatment
4.medication and response
5.patient teaching
6. care plan review and interventions
What does smart communication stand for? - ANSWER S - simple
M - meaningful
A - actual
R - read
T - teach
What is the difference between data collection and assessment - who does what? -
ANSWER RNs do the assessments while PCTs or LVNs do the data collection part.
, What is the role of the licensed nurse prior to treatment initiation? - ANSWER
Assessment: Listening to lung sounds and edema number scale
What is the role of the PCT prior to treatment initiation? - ANSWER Machine setup, pre-
treatment vitals, any concerns or changes in patient by asking them
When should pre-treatment data collection/assessment be documented? AKI PT? -
ANSWER Data collection: Prior to TX
Assessment: within 1 hour of TX initiation
AKI PT: Prior to TX
Possible consequences of poor/incomplete documentation? - ANSWER - open to
interpretation
- RN vulnerable to attack on care given (legal)
6 items included in charting med administration - ANSWER - Med & Dose
- Date & Time
- Route
- Reason
- Patient response
- Signature of TM administering
How to document late entries? - ANSWER - Make appropriate entry ASAP
- sign off and acknowledge late
- Take new set of vitals and put "late entry, pt stable, vitals rechecked"
- Never backdate a late entry
Explain Document charting errors - ANSWER - Draw single line through entry and note
"error in entry"
- Date, signature, credentials (RN)
- Chart correct info
Normal heart rate? - ANSWER 60-100 bpm
Normal pre-treatment blood pressure? - ANSWER 140/90 or less
Normal respiration rate? - ANSWER below 24
normal temperature ? - ANSWER 97.1
Three words DaVita uses in order to easily recall the pre-treatment AVF/AVG access
evaluation are: - ANSWER Look
Listen
Feel
6 "W's" when completing a REM - ANSWER What happened
