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DaVita PCT I Critical > Module 2 > Flashcards

Module 2 Flashcards

(63 cards)

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1
Q

What are the key concepts related to “Reasonable & Prudent” Care?

A

(Answer)

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2
Q

Who established the Standards of Care for Nephrology Nursing and for what purpose?

A

(Answer)

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3
Q

What are three considerations when delegating nursing care activities?

A

(Answer)

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4
Q

What role does DaVita’s P&P play?

A

(Answer)

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5
Q

What are the risks of performing activities your way?

A

(Answer)

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6
Q

What are the 4 reasons why we document in the medical record?

A

1.
2.
3.
4.

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7
Q

List 6 occurrences when to document:

A 
1. 
2.
3.
4.
5.
6.
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8
Q

What does SMART communication stand for?

A 
S:
M:
A:
R:
T:
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9
Q

What is the difference between data collection and assessment- Who does what?

A

a) Assessment-Nurse

b) Data Collection - PCT

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10
Q

What is the role of the licensed nurse prior to treatment initiation?

A

(Answer)

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11
Q

When is a pre-treatment assessment by the licensed nurse required for a CKD hemodialysis patient?

A

(Answer)

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12
Q

When is a pre-treatment assessment by the licensed nurse required for an acute kidney injury (AKI) hemodialysis patient?

A

(Answer)

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13
Q

What is the role of the PCT prior to treatment initiation?

A

(Answer)

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14
Q

What are the appropriate times for documentation?

A

Pre-treatment safety checks:
Pre-treatment patient data collection:
Observations during treatment:
Post Treatment data collection/assessment:

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15
Q

What are possible consequences of poor or incomplete documentation?

A

(Answer)

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16
Q

How do you document late entries?

A

(Answer)

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17
Q

How do you document charting errors?

A

(Answer)

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18
Q

What is the preferred location for taking an accurate blood pressure?

A

(Answer)

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19
Q

What BP reading error can be caused by an incorrect cuff size?

A

Cuff Too Small:

Cuff Too Large:

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20
Q

What is a normal pre-treatment blood pressure?

A

(Answer)

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21
Q

What is the normal heart rate range?

A

(Answer)

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22
Q

What is the normal respiratory range?

A

(Answer)

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23
Q

What is a normal temperature?

A

(Answer)

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24
Q

The 3 words DaVita uses in order to easily recall the pre-treatment AVF/AVG access evaluation are:

A

“Look, Listen, Feel”

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25
When is pot-treatment assessment by the licensed nurse required?
(Answer)
26
What are the 5 "W"s to be used when completing an REM?
``` W: W: W: W: W: ```
27
What are 3 things you should you include in an REM?
1. 2. 3.
28
Target weight:
- Is determined by physician order - TW is the physician prescribed weight post-dialysis that the patient can safely and reasonably achieve - TW should be modified by the physician based on patient's tolerance, ongoing signs of fluid overload, and changes in fluid status. - Must be adjusted in a timely manner so that the physician's most recent order is taken into account for each treatment. You may not adjust the TW retroactively.
29
Interdialytic Weight Gain (IDWG) Calculation:
- Pre weight - (minus) Last post weight
30
UF Goal Calculation:
``` Pre-Weight: - Target weight + NS prime & rinse back + Oral intake, infusions = UF Goal ```
31
UF Calculation:
UF Goal / TxHours = UFR
32
What are 4 consequences of sodium loading during dialysis?
a) b) c) d)
33
State 3 ways we can contribute to sodium loading during dialysis.
a) b) c)
34
What are the consequences if a patient is consistently fluid overloaded (hypervolemia)?
(Answer)
35
What are the consequences and risks of hypovolemia during the treatment?
(Answer)
36
What is the difference between and AVF and an AVG?
(Answer)
37
What is the connection point called of the artery and vein for the creation of an AVF?
(Answer)
38
Describe the 4 AVF evaluations for maturation based on the KDOQI Rule of 6's
a) b) c) d)
39
Describe the teammate's cannulation level based on NFACT:
Beginner Cannulator: Intermediate Cannulator: Advanced Cannulator:
40
What is the difference between a tunneled and a non-tunneled CVC?
(Answer)
41
Considerations for cannulation: | a) Definition of newly mature AVF
(Answer)
42
Considerations for cannulation: | b) Definition of a mature AVF
(Answer)
43
Considerations for cannulation: | b) Definition of established AVF
(Answer)
44
Considerations for cannulation: | d) Recommended needle gauge and max BFR for new AVF initial cannulation
(Answer)
45
Considerations for cannulation: | e) Needle gauge and suggested BFR (Note: Always follow physician prescription)
17: 16: 15: 14:
46
Considerations for cannulation: | f) use of One needle
(Answer)
47
Considerations for cannulation: | g) Use of tourniquet
(Answer)
48
Cannulation Rules for Site prep and Cannulation:
a) Evaluation of blood flow: b) Site rotation/healing time: c) Needle insertion: d) Flipping the needle/complications e) Distance from anastomosis f) Distance between needle tips
49
Needle Removal:
a) Angle: b) When to apply pressure: c) Use of clamps: d) Use of hemostatic sponges:
50
BEST TIPS (Complications and Prevention)
B: E: S: T: T: I: P: S:
51
Laboratory Specimen Collection, Handling and Testing Information: 1. PPE Requirements:
(Answer)
52
Laboratory Specimen Collection, Handling and Testing Information: 2. Successful lab draws:
(Answer)
53
Laboratory Specimen Collection, Handling and Testing Information: 3. Processing:
a) Clotting time: b) Rule for spinning samples: c) When to refrigerate: d) When not to refrigerate: e) Training requirements for shipping:
54
What is the goal for Single Pool (spKt/V) for 3x/week frequency of dialysis treatments?
(Answer)
55
ABOUT Kt/V: What is 'K' ?
(Answer)
56
ABOUT Kt/V: What treatment factors decrease K?
(Answer)
57
ABOUT Kt/V: What treatment factors increase K?
(Answer)
58
ABOUT Kt/V: What is 't' ?
(Answer)
59
ABOUT Kt/V: What factors influence 't' ?
(Answer)
60
ABOUT Kt/V: What factors influence 'V' ?
(Answer)
61
Procedure for Post BUN lad draw:
(Answer)
62
Lab draw mistakes that would falsely increase Kt/V
(Answer)
63
Lab draw mistakes that would falsely decrease Kt/V?
(Answer)

DaVita PCT I Critical (4 decks)

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