What are the four meds PCTs can administer per Davita P&P? (Module 3) - Answer- Normal saline
heparin
lidocaine
topical anesthetic spray
What are
... [Show More] the 6 items included in documenting administered medications? (Module 3) - Answer- Time and date
route of administration
reason for giving
medication dosage
reason for administering
patient response
At what time are medications containing a preservative discarded?(Module 3) - Answer- 28 days (exept when manufacturer specifies differently ex epogen)
What size needle with the appropriately sized syringe should be used when drawing up heparin? (Module 3) - Answer- 21 g x 1 inch
What is the time frame during which single use medication should ne prepared and administered?(Module 3) - Answer- 4 hours (unless state specifies)
How do you verify your needle is not in the access when administering lidocaine? (Module 3) - Answer- aspiration of syringe plunger
How do you administer topical anesthetic spray?(Module 3) - Answer- wash arm
clean site per p&p
spray for 4-10 secs from a distance of 3-7
Dont frost the skin- numbing effect occurs with blanching
Why would the nephrologist order a formulary exception of citrasate or citrapure dialysate concentrate? (Module 3) - Answer- to use as part if anticoagulation during dialysis treatment when heparin is contraindicated
Regarding multi-dose medication vials: (Module 3) - Answer- labeling and expiration: and initials of opener and date
Needle/syringe/ vial: the vial may be entered more than once but requires a new sterile syringe, avoid pooling of medication
Regarding single dose vial(Module 3) - Answer- must be used for only 1 pt
each vial should only be entered once and then discarded
the same syringe may be used to enter up to two single use vials of the same medication
What does TRAMP stand for? ( note there is often a 6th med one-documentation) (Module 3) - Answer- Time
Route
Amount
Medication
Patient
What are two reasons for water treatment?(Module 3) - Answer- Patient safety
to prevent equipment damage
Aluminum in water used fir dialysis causes (Module 3) - Answer- Anemia
bone disease
nausea
vomiting
neurologic deterioration
chlorine in water used for hemodialysis causes (Module 3) - Answer- hemolysis
Excess calcium and sodium in water causes? (Module 3) - Answer- hypertension
Excess calcium and magnesium in water used for dialysis causes? (Module 3) - Answer- muscle weakness
What does RO remove? (Module 3) - Answer- organic and inorganic materials
bacteria
endotoxins
What are 2 concerns with using DI tanks (Module 3) - Answer- exhaust quickly
When exhausted they dump previously removed ions back into the water
Response to FInal water quality alarm (Module 3) - Answer- Bypass
notify charge nurse/ FA/ biomed/ medical director
if not resolved, terminate water tx and complete REM
Water/ dialysate cultures results (Module 3) - Answer- acceptable level: below 50 cfu/ml
action level: 50-99 cfu/ml
unacceptable level: 100 cfu/ml
Water endotoxin testing results (Module 3) - Answer- acceptable level: below 0.12 EU/ml
action level: 0.12 to <0.25 EU/ml
Unacceptable level 0.25 EU or >
Dialysate endotoxin testing result (Module 3) - Answer- Acceptable level: < 0.25 EU/ml
Action level: 0.25 to <0.50 EU/ml
Unacceptable level: 0.50 EU/ml or >
How often are water and dialysate cultures drawn and monitored for bacteria and endotoxins? (Module 3) - Answer- monthly
what removes chlorine/chloromines (M [Show Less]