What is the importance of wearing gloves?
reduces risk of hand contamination and prevents the transfer of organisms on hands to the patients
Why do you need to perform hand hygiene before and after wearing gloves?
- gloves are not impervious and have microscopic pores
Who can use clean sinks for handwashing?
teammates and patients
Is a cleaned dialysis machine considered a “clean” area?
No
How can you tell when an rea or sink is clean or dirty in your facility?
it is clearly labeled with a “clean” or “dirty” sign
What is “strikethrough” of an external pressure transducer and why is it of concern?
It’s when fluid could have entered the machine and contaminated the internal pressure transducer protector providing a reservoir for microorganisms and causing subsequent patient blood infections.
When should sharps containers be removed from the treatment floor?
When they are 3/4 full
Explain the HBV classification and state which test is performed monthly on HBV susceptible patients
HBsAg: Hepatitis B surface Antigen - tested monthly for susceptible patients and non-responders
HBsAb (Anti-HBs): Hepatitis B Surface Antibody
HBcAb (Anti-HBc): Hepatitis B Core Antibody
How do surveyors verify teammates have completed infection control training and education?
Documentation of infection control training in the teammate’s file or transcript
Which patient care assignments are appropriate when caring for Hepatitis B patients? (3)
- caring for HBsAg positive and Hepatitis B immune patients at the same time
- caring for Hepatitis B susceptible patients and those in the process of receiving the vaccination at the same time
- caring for Hepatitis B immune and susceptible patients at the same time
State the 3 strategies recommended to decrease the risk of infection when working with a CVC?
- using facemasks when lumens or exit site is exposed
- wearing clean gloves and avoid touching exposed surfaces
- minimizing catheter lumen or exit sites from being exposed
What is the common transmission route for healthcare-associated infections (HAIs)?
contact transmission
What is the reason that dialysis patients are at increased risk for acquiring HAI at the facility?
CKD patients are immunosuppressed and more vulnerable to infection
What is the second most common cause of death in dialysis patients?
Infection
What contributes to hemodialysis patients being placed at increased risk for acquiring HAI at the facility?
Kidney failure weakens the immune system making patients more vulnerable to infections
What is the correct procedure for your hands when making casual contact with a patient?
Gloves are unnecessary for casual contact but hand hygiene is still required
What is the most important intervention to prevent HAIs?
Performing hand hygiene
What is the total proportion of dialysate used at DaVita?
45X
What is in dialysate at DaVita?
- Acid
- Bicarbonate
- Dialysis quality water
What are the 2 most frequent physician prescribed potassium strengths of dialysate concentrate used at DaVita?
2.0 K+ and 3.0 K+
Which part of the kidney functions similarly to the dialyzer’s semi-permeable membrane to provide filtration and removal of fluids and toxins?
Glomerulus
What are the 2 waste products removed by dialysis that are monitored with monthly labs?
Blood Urea Nitrogen (BUN) and Creatinine
What is the difference manual conductivity is allowed to reach?
+/- 0.4 mS
What is the safe dialysate pH range?
6.9-7.9
