Bonent Technician 2020 Exam With Complete solution graded A+

Bonent Technician 2020 Exam With Complete solution graded A+ How long is 1% PAA stable after it is mixed? - 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? - 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? - 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? - 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? - 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 - 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? - 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? - 36-50 degrees F What is the required temp of the reuse room and reprocessed dialyzer storage? - 59-75 degrees F What is the required temp of the reuse chemical storage area? - Above 32-75 degrees F What do you do if any of the temps are out of range? - Notify the FA, DRTC/Reuse Lead, and Biomed teammate. What is the required Renatron test volume when performing the calibration cell volume check? - 67-73mL What is the volume of the calibration cell? - A volume of 70mL What is required dynamic water pressure to the Renatron? - 20-55psi When is the dynamic water pressure to the Renatron observed? - 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? - 20-55psi When is the static water pressure to the Renatron observed? - 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? - Dialyzer reuse mst be suspended. What do you do in the event of a large PAA spill? - 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? - 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? - 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? - Max of 36 hours . Teammates are required to document the date and time, the dialyzer is placed in the fridge, on the dialyzer bag. Why must dialyzers b reprocessed or refrigerated within 2 hours after treatment? - To retard bacterial growth in the dialyzer until reuse is started What if the RO is inoperatble and the acility needs to use DI tanks to purify the water? - Reuse must be DCd until the RO is operational and the distribution system has been disinfected. What must you do if the reuse computer is not working? - Used dialyzers are to be stored in the reuse refrigerator and dialyzer reprocessing just be discontinued. What would you do if the dialyzer label printer stopped working? - A manual label may be created which contains the same info as the automated label What would you do if you were not able to backup the reuse data aat the end of the day? - You must contact the IT HelpDesk for assistance What are acceptable methods for precleaning a dialyzer? - Current accepted pre-clean equipment includes a manual pre-cleansink and RenaClear Why must all reuse dialyzers be preprocessed before they are first used? - To establish baseline performance characteristics (start volume and fiber integrity/leak test) What must you do if a dialyzer is returned to the reuse room without a patient name? - The dialyzer must be failed and discarded. How often is the water required to be tested for Total Chlorine? - On a daily basis prior to the first patient treatment and eery 4 hours until all activities that require use of dialysis quality are completed erythrooiesis - decreased o2 in renal blood supply erythopoietin - stimulates bone marrow to produce RBCs Symptoms of Hypernatremia (sodium excess) - increase in BP Symptom of Hyponatremia (low sodium) - Causes decrease in BP What med do you hold if a pt has pericarditis? - Heparin symptoms of pericarditis? - fever, decreased bp, irregular heartbeat, and constant chest pain Treatment of pericarditis? - good dialysis, on fluids, anti-inflammatory, antibiotics and possible surgery Unacceptable range for hyperkalemia - greater than 6.5 What causes hyperkalemia - Diet, infection & hemolysis Symptoms of hyperkalemia