Exam (elaborations)
Fresenius PD Final
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Exam of 13 pages for the course Fresenius PD at Fresenius PD (Fresenius PD Final)
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FRESENIUS PD FINAL QUESTIONSWITH CORRECT DETAILED ANSWERS
h What is the mission? - Deliver superior care that improves quality of life of every patient, every day,
setting the standard by which others in the healthcare industry are judged.
What are the core values? - Collaborative, proactive, reliable, excellent
Experience Drivers - Empathy, compassion, respect, care coordination, professionalism
What is 1:100 bleach solution? - 1 part bleach to 99 parts water
What is 1:10 bleach solution? - 1 part bleach to 9 parts water
How should bleach solution be stored? - In opaque container with lid- labeled with strength, time, date
and initials.
How often should bleach solution be made? - Daily
What is 1:100 bleach solution used for? - To clean all dialysis surfaces. May clean blood spills that are less
than 10 mL. Soak clamps.
How should clamps be soaked? - In 1:100 bleach in open position for 10 minutes.
When should 1:10 bleach solution be used? - Blood spills more than 10 mL— you should soak up blood,
then disinfect with 10% bleach solution followed by second disinfection using 1:100 bleach solution.
What items are placed in the sharps containers? - Broken glass( picked up with broom and dustpan),
ampules, syringes with needles( used or unused)
When should sharps containers be replaced? What should you not do? - Close, lock and replace sharps
containers when 2/3 to 3/4 the way full. DO NOT shake to condense the contents
What is done with the sharps containers in an emergency? - Remove all medical waste containers
(sharps and biohazard) from the treatment floor. Lock lids and place in locked biohazard room.
What is hepatitis? - inflammation of the liver caused by certain viruses and other factors, such as alcohol
abuse, some medications, and trauma
How is hep A spread? - Fecal oral route
How is hep b and C transmitted? - Blood borne exposure or bodily fluids
How contagious is Hep B? How long can it live on surfaces? - Very contagious. 7 days.
, What should you use to clean HBV patients equipment and environmental surfaces with? - 1:100 bleach
solution.
What should be worn when dealing with HBV patients and equipment? - Gloves and a barrier gown.
When cleaning the room after a positive HBV patient requires use of: - 1:100 bleach solution after the
patient leaves and before the next patient can use the room.
Is Hep C as contagious as Hep B? - No, it is not known to survive very long outside of the body.
What precautions should be used for Hep C positive patients? - Standard Universal precautions.
What is HIV? - blood borne pathogen.
Is HIV easily transmitted? - No, it is not known to live long outside of the body.
HIV should be considered infectious for up to: - 48 hours
What bacterias are primarily spread through hand to hand contact by healthcare workers who is exposed
to contaminated skin and or equipment? - MRSA and VRE
VRE can live on surfaces for up to : - 7 days
How long should protective measures be used for MRSA and VRE? - Until three negative cultures( one
week apart) have been obtained.
How should VRE/MRSA patients be dialyzed? - They do not require isolation, but should be seated
together away from susceptible patients and should have their own designated blood pressure cuff,
stethoscope, tourniquet, etc. Gloves should be used for all patient and equipment contact.
What should surfaces touched by MRSA and VRE patients be cleaned with? - 1:100 bleach solution.
How should gowns, drapes, sheets, and catheter dressings be disposed of when working with MRSA, VRE
or Hep B patients? - In red infectious, biohazard waste containers after each use
How should equipment be disinfected to prevent blood borne pathogens? - 1:100 bleach solution.
Gloves and barrier gown should be worn for all contact with potential body fluids
What is the most important infection control measure? - Hand washing
How long should hands be washed? - 40 to 60 seconds
When dealing with MRSA, VRE or Hep B patients hands should be washed for 60 seconds. Prior to PD
exchange, transfer set, dressing change etc- they should be washed for 60 seconds.
What is the recommended nail length? - 1/4 or less and no artificial nails
How should PD effluent be handled in the clinic? - Apply PPE, clamp effluent bag in order to carry it to
the dirty sink, toilet or hopper, hang effluent bag on IV pole and allow to drain. Clean receptacle with
bleach daily at the end of the day at minimum. Place empty bag and tubing in biohazard bag and dispose
the biohazard bag in the biohazard trash. Remove gloves and wash hands.
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