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Best Practices for Dialysis Staff: "Preventing Blood Stream Infection in the Outpatient Hemodialysis Patient"
1. When is it necessary to wash your hands with soap and water?
After applying clean gloves When hands are visibly soiled When hands are not visibly soiled with blood or body fluids After applying alcohol-based hand sanitizer if hands are not visibly soiled
2. What can dialysis staff do to reduce the risk of being infected with a blood borne pathogen?
Proper hand washing Universal precautions Proper sharps disposal All of the above
3. The second most common cause of death from kidney failure is infection?
True False
4. The presence of reddness and swelling at the patient access site is important because:
Temperature of 100 degrees F is normal for a dialysis patient It is normal for the patient to have a little swelling and reddness It could be a sign of infection None of the above
5. The patient and caregiver must wear a facemask with a dialysis catheter when initiating and terminating a treatment and when the dressing change is performed?
True False
6. When is a single most effective way to prevent the spread of infections?
Practice aseptic technique Wear proper PPE (personal protective equipment) Hand washing Disinfect surfaces with bleach
7. What can dialysis staff do to reduce the risk of being infected with a blood borne pathogen?
Proper hand hygiene Universal precautions Proper sharps disposal All of the above
8. Always wash your hands:
Upon entering the facility Prior to gloving after contamination with blood or other body fluids When they are visibly dirty All of the above
9. When should you remove your gloves and put on new gloves?
After contacting a potentially contaminated site before moving to a clean site After contact with blood and body fluids After completing tasks at one patient station before moving to another station All of the above
10. PPE includes all of the following EXCEPT:
Gown Gloves Face shield Shoe protectors
11. De-cannulation techniques include all of the following EXCEPT:
The patient applies a glove prior to holding pressure on the access site Activate needle retraction device and dispose of needles in a proper sharps container Apply clean gauze and bandage to the access site None of the above
12. The following steps are intended to be used when ther is no visible blood at the dialysis station:
While wearing a gown and clean gloves apply a disinfectant to all surfaces in the dialysis station using a firm wiping motion Make sure that surfaces of the station are visibly wet with disinfectant Disinfect all surfaces of the emptied priming bucket and let all surfaces air dry naturally, remove gloves, and hand hygiene All of the above
13. There are many times when it is necessary to perform hand hygiene EXCEPT:
Only after providing care for a patient Before drawing, injecting, and infusing medication or solution Before cannulation of a fistula or graft or accessing a catheter After you touch blood, body fluids, mucous membranes, used materials such as dressings, or spent dialysate
14. Contaminated objects include all of the following:
Floors Trash cans Medical equipment All of the above
15. Cleaning and Disinfecting the Dialysis Station includes:
Chair - fully reclline to reach all surfaces and sides, visually inspect and clean again if necessary Machine - particular attention to cleaning the control panel and other frequently touched surfaces Remote controllers, TV, BP cuff, and other items that may have been touched by the patient All of the above
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Best Practices for Dialysis Staff: "Preventing Blood Stream Infection in the Outpatient Hemodialysis Patient"