Davita pct final exam 2023/2024
Water and dialysate cultures are drawn every month in the dialysis unit to monitor ANS: bacteria and
endotoxins
what problems will cause a more positive (less negative) pre-pump arterial pressure. ANS: blockage of
arterial blood flow from the vascular access.
what is the most likely reason for a blood leak detector alarm during recirculation ANS: -air bubbles in
the dialysate, dirty sensor
-check dialysate connections, bleach machine
what is an appropriate interventions with an air/foam detector alarm? ANS: look at circuit for blood in
the system. DO NOT return blood with air in the system.
what will cause a more negative pre-pump arterial pressure? ANS: Kinking of the arterial blood line
between the vascular access and arterial monitor
if clotting occurs in a high flux dialyzer, the transmembrane pressure (TMP) will ANS: decrease
what could be the reasons for a conductivity alarm on the dialysis machine ANS: when the dialysate is
mixed incorrectly or there is no water acid or bicarb.
the person responsible for implementation, adherence, and training of the facility specific emergency
management plan (EMP) and applicable policy and procedures is ANS: Fa or designee
Teammates MUST be able to readily identify patients who may require additional assistance in the event
of an emergency evacuation. This will include patients who need help with or are unable to ANS: both b
and c
, what is an important action prior to returning a patients blood using the hand crank in the event of a
power failure ? ANS: remove the venous line for the line clamp
Per physician order and based on individual patient needs, Chronic Kidney Disease Mineral and Bone
Disorder (MBD) is treated with ANS: phosphate binders, Vit D (Hectorol), and Cinacalcet
Poor wound healing is directly related to ANS: low protein intake
Phosphate binders are prescribed to prevent phosphorus in meals from being absorbed. When is the
best time to take them ? ANS: with meal
The definition of Health Literacy is ANS: ability to obtain, read, understand, and use healthcare
information in order to make appropriate health decisions and follow instructions for treatment
If you notice that a patient's caretaker is struggling to meet the demands of the patients treatment
regime you should ANS: contact social worker
The Psychosocial Assessment completed by the social worker ANS: an evaluation of a person's mental
health, social status, and functional capacity within the communityCompeted initially and annually
The Clinical Pyramid includes : ANS: • The Fundamentals: Immunizations, Iron, Dialysis Access, Calcium,
Phosphorus, Hb, Kt/V, Target Weight, Access,PTH, etc.• Complex Programs: Fluid Management,
Infection Management, Diabetes Management, Med Management, CVCManagement, Palliative / EOL
Care, Infection Surveillance, Transition of Care, CKDEducation, Depression, Missed Treatments, etc.•
Measures of Effectiveness • Mortality, Hospitalization /Re-hospitalization, Patient Experience of Care•
What Matters Most • Our patient's health-related Quality of Life
DaVita Quality Index (DQI) success is achieved ANS: encourage continuous improvement across aboard
range of disease management processes (all of the above )
Water and dialysate cultures are drawn every month in the dialysis unit to monitor ANS: bacteria and
endotoxins
what problems will cause a more positive (less negative) pre-pump arterial pressure. ANS: blockage of
arterial blood flow from the vascular access.
what is the most likely reason for a blood leak detector alarm during recirculation ANS: -air bubbles in
the dialysate, dirty sensor
-check dialysate connections, bleach machine
what is an appropriate interventions with an air/foam detector alarm? ANS: look at circuit for blood in
the system. DO NOT return blood with air in the system.
what will cause a more negative pre-pump arterial pressure? ANS: Kinking of the arterial blood line
between the vascular access and arterial monitor
if clotting occurs in a high flux dialyzer, the transmembrane pressure (TMP) will ANS: decrease
what could be the reasons for a conductivity alarm on the dialysis machine ANS: when the dialysate is
mixed incorrectly or there is no water acid or bicarb.
the person responsible for implementation, adherence, and training of the facility specific emergency
management plan (EMP) and applicable policy and procedures is ANS: Fa or designee
Teammates MUST be able to readily identify patients who may require additional assistance in the event
of an emergency evacuation. This will include patients who need help with or are unable to ANS: both b
and c
, what is an important action prior to returning a patients blood using the hand crank in the event of a
power failure ? ANS: remove the venous line for the line clamp
Per physician order and based on individual patient needs, Chronic Kidney Disease Mineral and Bone
Disorder (MBD) is treated with ANS: phosphate binders, Vit D (Hectorol), and Cinacalcet
Poor wound healing is directly related to ANS: low protein intake
Phosphate binders are prescribed to prevent phosphorus in meals from being absorbed. When is the
best time to take them ? ANS: with meal
The definition of Health Literacy is ANS: ability to obtain, read, understand, and use healthcare
information in order to make appropriate health decisions and follow instructions for treatment
If you notice that a patient's caretaker is struggling to meet the demands of the patients treatment
regime you should ANS: contact social worker
The Psychosocial Assessment completed by the social worker ANS: an evaluation of a person's mental
health, social status, and functional capacity within the communityCompeted initially and annually
The Clinical Pyramid includes : ANS: • The Fundamentals: Immunizations, Iron, Dialysis Access, Calcium,
Phosphorus, Hb, Kt/V, Target Weight, Access,PTH, etc.• Complex Programs: Fluid Management,
Infection Management, Diabetes Management, Med Management, CVCManagement, Palliative / EOL
Care, Infection Surveillance, Transition of Care, CKDEducation, Depression, Missed Treatments, etc.•
Measures of Effectiveness • Mortality, Hospitalization /Re-hospitalization, Patient Experience of Care•
What Matters Most • Our patient's health-related Quality of Life
DaVita Quality Index (DQI) success is achieved ANS: encourage continuous improvement across aboard
range of disease management processes (all of the above )
