DaVita annual competency exam with accurate answers 2024/2025

DaVita annual competency examYou have been asked by the charge nurse to cannulate the new AV fistula of Mr. Smith, bu the patient comes in 15 minutes late and its time to take your break. Can you ask a fellow PCT to cannulate Mr. Smith - correct answer No. a task delegated by the licensed nurse to a non-licensed teammate cannot be re-delegated by this teammate What is the purpose of professional boundaries? - correct answer They keep the relationship between you and your patient appropriate and safe discussing personal problems with you patients: - correct answer is considered unprofessional behavior attempting to remove a large amount of fluid weight gain from the patient: - correct answer can lead to hypovolemia during the treatment which is associated with an increased mortality rate when sodium loading occurs during dialysis treatment: - correct answer it leads to an increase in thirst and larger fluid weight gains with hypertension between treatments and can contribute to headaches after the treatment During data collection Mrs. Sweetland mentions her bowel movements have been looking quite dark the last two days and asks if this could be caused by something she ate. You: - correct answer Inform the nurse to assess Mrs. Sweetland prior to treatment initiation How long prior to initiating the hemodialysis treatment should the initial loading dose of heparin be administered through the venous fistula needle or venous port of the central venous catheter to anticoagulate the patient - correct answer A minimum of three to five minutes prior to treatment initiation Over the counter medications: - correct answer do not require a physician order but should b e approved by the nephrologist per DaVita policy, prior to each medication preparation, the medication preparation surface area: - correct answer Is to be disinfected with a 1:100 bleach solution or approved disinfectant an opened multidose vial may be kept for: - correct answer 28 days which is not an acceptable assignment for a PCT working in a facility that cares for patients with hepatitis infection - correct answer caring for Hbv + and susceptible patients at the same time which statement is true regarding fingernails - correct answer fingernail length should not extend more than 1/4 inch and traditional nail polish that is not chipped may be worn to make a 1:10 bleach solution for cleaning gross blood spills you would combine - correct answer 1 part bleach with 9 parts water cleaning blood pressure cuffs between patients - correct answer removes microorganisms such as MRSA or VRE that may be colonized in a patients axillary area cleaning and disinfecting priming buckets after each treatment - correct answer is required to decrease gram-negative bacterial growth which may occur in solutions such as water the foot rest of a patient chair is torn and the inner foam is exposed can it still be used for patient treatments? - correct answer no, because the torn surface no longer allows for effective cleaning and provides a potential for microbial growth hand hygiene is required when gloves are removed - correct answer Always, even gloved hands can become contaminated through microscopic holes in the glove attention to infection control, proper hand hygiene, cleaning and disinfection procedures are of the utmost importance in the dialysis setting. which of the following statements is true? - correct answer MRSA bacteria can survive on surfaces especially plastic and vinyl for days which is the most common infectious complication in hemodialysis patients? - correct answer vascular access infections