Types of source water are_____ & _____
Ground & Surface
Example of ground water source
Wells & Springs
Example of surface water source
Lakes, Ponds & Rivers
FMC follows water quality standards acc
...
Types of source water are_____ & _____
Ground & Surface
Example of ground water source
Wells & Springs
Example of surface water source
Lakes, Ponds & Rivers
FMC follows water quality standards according to _____
AAMI Standards
Bone disease can be caused by what in the product water
Fluoride & Aluminum
Aluminum in product water put the patient at risk for
Neurological Deterioration
Aluminum, chloramines, copper or zinc may cause _____ when present in dialysis water
Anemia
Sepsis
Blood infection
Endotoxin
remains of dead bacteria
Characteristics of bacteria and/ or viruses
fever, chills, low BP, vomiting
safe range for total Chlorine
0.00-0.09
Hemolysis
Serious side effect if chlorine crosses dialyzer membrane
Chloramine is a combination of
Chlorine & Ammonia
Chlorine and Chloramines are added o City water
to kill bacteria
Hemolysis
Pt complication due to the exposure of blood to chloride & Chloramines
Symptoms of Hemolysis
Chest pain, SOB, Death
Where does water Pathway of water start in the dialysis facility
Where is enters the facility
Back flow Preventer
first piece of equipment that water goes thruin the dialysis facility
Function of Back Flow Preventer
To prevent water from flowing back into water system
recommended water temperature for ideal RO operation
77 degrees F
Function of the Booster Pump
Maintains sufficient pressure to the RO from the water supply
Function of the Captive Air (expansion/bladder) Tank
maintains minimum system pressure while the booster pump cycles
Function of the Chemical Feed Pumps
Adjust pH by adding acid or sodium bisulfate
Function of the Sediment Filters
filters water of particulate water
Function of the Mutimedia Filter
removes particles to 10 microns
Function of the Carbon (GAC) Filter/Tank
Remove total chlorine from water
Empty Bed Contact Time (EBCT)
amount of time water must be n contact with carbon
Carbon filters remove chlorine and chloramines by the process of
Granular Activated Carbon (GAC)
AAMI requires a minimum for EBCT
10 minutes
FMC requires a minimum for EBCT
12 minutes
RPC Ultra-Low Total Chlorine test strips are used to test
Chlorine levels
When is routine total chlorine testing performed Per FMS policy
every 4 hrs
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