Fresenius Hemodialysis Study Guide Already Passed

Fresenius Hemodialysis Study Guide Already Passed CMC stands for? ✔✔Centers for Medicare and Medicaid Services Gloves should be worn when touching? ✔✔•Patient and patients belongings •Dialysis Machine (clean or dirty ...

Fresenius Hemodialysis Study Guide Already Passed CMC stands for? ✔✔Centers for Medicare and Medicaid Services Gloves should be worn when touching? ✔✔•Patient and patients belongings •Dialysis Machine (clean or dirty) •Any potentially infectious material When is hand washing necessary? (Gel/soap water) ✔✔Anytime you remove your gloves When must hands be washed with soap and water? ✔✔•When hands are visibly soiled or contaminated with blood or body fluids •Before eating •After using restroom •C-diff exposure What is prohibited during patient care? ✔✔•Artificial Nails •Nail extenders •Nail wraps •Chipped Nail polish •Natural nails longer than 1/4 inch •Excessive jewelry Dialysis precautions include? ✔✔•Federal regulations mandates higher level of infection control for dialysis •All patients are approached as if they are infectious •All blood, body fluids, tissues, needles and sharps are contaminated •All dialyzers, supplies and equipment are contaminate Why do we need special Dialysis precautions? ✔✔Dialysis Patients are immunosuppressed What are two areas in the Dialysis clinic ✔✔Clean areas and Dirty areas Clean areas include? ✔✔Unused equipment, supplies and medications Dirty areas include? ✔✔Used, dirty equipment, supplies, biohazard container with potential contamination with blood and body fluids Sterile is? ✔✔Absence of all microorganisms Sterile parts of the ECC ✔✔Dialyzer Bloodlines NS spike needles (All capped parts) What are the 3 D's? ✔✔Discard Disinfect Dedicate What is discarded? ✔✔Gauze, pads, syringes What is Disinfected ✔✔Conductivity meters Bloop pressure cuffs Clamps Stethoscopes Thermometers Oxygen concentrators IV pumps What is dedicated? ✔✔Tape Clean means? ✔✔The removal or reducing of microorganisms Clean areas are located? ✔✔Away from contaminated supplies Away from water splash Away from patients What areas are considered dirty? ✔✔Patient supplies and clothing Trash can Floor Biohazard container Lab area How often should bleach solution be mixed? ✔✔Every 24 hours Which bleach solution is used when cleaning? ✔✔1:100 Which bleach solution for blood/body fluids ✔✔1:10 How to prevent contamination when setting up or tearing down ECC? ✔✔Wear PPE Use hand hygiene Use clean gloves Protect all ports form contamination How to protect Fistulas/grafts from infection? ✔✔Wash accesses with liquid soap and water for one min Wear clean gloves when cannulating When working with CVCs pt must wear? ✔✔Mask When drawing up medications what are some important steps? ✔✔Do not touch vial top after cleaning Discard single use vials after use Initial and date any multiuse vials you open Medications can not be taking from station to station Check expiration dates MRSA is? ✔✔A type of staph bacteria that is resistant to certain antibiotics called beta-lactams Standard Precautions ✔✔Used routinely on all dialysis patients Contact precautions ✔✔Require dedicated equipment and full PPE on designated patients Droplet/respiratory precautions ✔✔Require mask and a spatial separation of 3 feet or greater Airborne precautions ✔✔Requires a negative air flow isolation room Hep B is? ✔✔Inflammation of the liver Hep B virus is found in all body fluids including ✔✔Blood Tears Sweat Urine Hep B can live on surfaces for up to? ✔✔7 Days HBsAg+ patients must? ✔✔Dialyize in a separate isolation room What is the buffer zone? ✔✔A first line of defense and is used to protect susceptible patients from HBsAg+ patients PPE includes? ✔✔Gowns Gloves Masks Googles Face shield When handling a blood spill greater than 10ml? ✔✔Put on PPE Lay absorbent material over spill Discard absorbent material in biohazard trash Preclean with 1:10 bleach solution Remove gloves/wash hands Clean again with 1:100 Remove gloves wash hands Mixing bleach steps include? ✔✔Put on PPE Put date mixed, time and initials Must have strength and HMIS label How long must blood free equipment be fully immersed? ✔✔20 mins What is the Urinary system made up of? ✔✔2 Kidneys 2 Ureters Bladder Urethra What do the Kidneys produce? ✔✔Urine What are the functional units of the Kidney ✔✔Nephrons What is the nephrons composed of? ✔✔Glomerulus and tubules What is a glomerulus? ✔✔Tangled Custer of capillaries surrounded by the bowmans capsule What is the ADH ✔✔Antidiuretic hormone- is a hormone that affects the health of the kidneys by reducing the excretions of urine What do Kidneys filter? ✔✔Fluid Wastes And extra electrolytes What are the 4 functions of the Kidneys? ✔✔Excretory Regulatory Filtration Endocrine What is Uremia? ✔✔When wastes builds up in the blood