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What are the three main blood-borne pathogen's that pose a risk to hemodialysis patients? -
✔✔Hepatitis B, hepatitis C and HIV.
What are the two most common causes of death in hemodialysis patients? - ✔✔Cardiovascular
complications and infection.
How is disease spread? - ✔✔Direct contact, indirect contact, airborne and droplets
What technique must be used for cannulation, setting up machines, giving medications, and removing
patient needles? - ✔✔Aseptic technique.
How long must you wash your hands - ✔✔40 to 60 seconds
How long do you rub your hands when using hand sanitizer? - ✔✔30 seconds
What PPE is required when touching the extracorporeal circuit, giving meds, cannulation and removing
needles? - ✔✔Gloves, gown and face shield
Do you need to wear gloves when touching the dialysis machine? - ✔✔Yes
What bleach solution is used to clean the dialysis machine and patient chair? - ✔✔1:100 bleach solution
How long does hepatitis B live on surfaces? - ✔✔Seven days or more
, As a treatment nurse, can you care for a hepatitis B patient while caring for a immune deficient patient? -
✔✔No
May a dialysis machine being used for a hepatitis B patient be used on anyone else? - ✔✔Not until the
patient has been discharged from the center and is no longer a patient there at which time the machine
would need to be thoroughly cleaned and disinfected inside and out prior to being used for anyone else
Does hepatitis C patients need to be isolated like the hepatitis B? - ✔✔No
Can an active tuberculosis patient be dialyzed at an outpatient clinic? - ✔✔No, they must have three
consecutive tests that are all negative prior to being able to be dialyzed outpatient.
How long do you need to clean the top of a multidose vial? - ✔✔30 seconds with an alcohol swab
Can you use more than one multidose vial to fill a syringe? - ✔✔No, if there is not enough drug in the
first vial you must pull up the remaining medication needed in a second syringe. Then label them one of
two and two of two.
Can you give a medication that was drawn up by someone else? - ✔✔No
What does it mean to re-circulate ? - ✔✔After priming the extracorporeal circuit, you attach the arterial
and venous lines together to form a loop then check the dialysate with the phoenix meter. Once the
dialysate has passed Phoenix meter test, attach the red and blue Hansons to fill the dialysate
compartment of the dialyzer. The system stays like this with the blood pump running until you are ready
to prime and hook up the patient.
Can you invert a vial of Epogen? - ✔✔No,be careful not to shake the vial and do not turn the while
upside down.
What are the components of a dialysis order? - ✔✔Dialyzer type/size, correct bath, sodium, bicarb,
dialysate flow rate, Blood flow rate, needle size, time, temperature, and OL CV.