Bonent Exam
How long is 1% PAA stable after it is mixed? - ANS-1% PAA expires 24 hours after itis
mixd. However, the solution must be mixed fresh daily before starting reuse activities.
What would you do if you ran out of chemical or disinfectant? - ANS-Reuse must be
discontinued. Teammates are not allowed to transport Renalin.
What would you do if you acccidentally added too much dialysis quality ater or Renalin
100 to the 1 Liter graduated cylinder when mixing 1% PAA solution? - ANS-The solution
must be discarded and re-mixed.
What would you do if you noticed any of the port caps had popped off of the
reprocessed dialyzer during storage? - ANS-The dialyzer must not be used. The
dialyzer must be tested using a a Residual PAA test strip, and then be reporocessed
again without adding a use if the strip result is 100ppm or greater.
What would you do if a teammate came into the reuse room to get a reprocessed or
preprocessed dialyer that had not dwelled for at least 11 hours? - ANS-The dialyzer
must not be used for patient treatment unless it has dwelled for a minimum of 11 hours.
What would you do if a teammate came into the reuse room without wearing a gown,
gloves and face protection - ANS-Remind the teammate that they must wear the
required PPE at all times while in reuse room
What PPE do you wear in the reuse room, and why? - ANS-Reuse gown, gloves and
full face protection. This PKPE must be worn at all times while in the reuse room to
protect the teammate from blood and chemical exposure.
What is the required temp of the reuse refrigerator? - ANS-36-50 degrees F
What is the required temp of the reuse room and reprocessed dialyzer storage? -
ANS-59-75 degrees F
What is the required temp of the reuse chemical storage area? - ANS-Above 32-75
degrees F
What do you do if any of the temps are out of range? - ANS-Notify the FA, DRTC/Reuse
Lead, and Biomed teammate.
, What is the required Renatron test volume when performing the calibration cell volume
check? - ANS-67-73mL
What is the volume of the calibration cell? - ANS-A volume of 70mL
What is required dynamic water pressure to the Renatron? - ANS-20-55psi
When is the dynamic water pressure to the Renatron observed? - ANS-In step 4 on the
Renatron when performing the calibration verification during the startup procedure
What What is the required static water pressure to the Renatron? - ANS-20-55psi
When is the static water pressure to the Renatron observed? - ANS-While the water is
on and the Renatron is off
What if two or more patients exhibited the same or similar symptoms that could be
clinically related to dialyzer reprocessing? - ANS-Dialyzer reuse mst be suspended.
What do you do in the event of a large PAA spill? - ANS-Do not attempt to clean p the
spill. The Fire Depkt and Hazardous material Personnel must be notified.
What do you do in event of a small PAA spill? - ANS-Have teammate reference the
peracetic Acid concentrate spill procedure:
1) put on PPE
2) Perform drager air test
3) Neutralize spill with bicarb powder, wait 3 min
4) Use wet mop or sponge and carefully soap up spill
5) Flush to drain, diluting approx 1:1 with water, rinse mop/sponge
6) Wash down the area and allow it to dry
Why must Renalin and bleach be stored separately? - ANS-Because toxic chlorine gas
can form if he two chemicals mix
How long can a dialyzer be stored in the reuse refrigerator before it must be
reprocessed?how do you verify the max refrigeration time has not exceeded? -
ANS-Max of 36 hours . Teammates are required to document the date and time, the
dialyzer is placed in the fridge, on the dialyzer bag.
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