CCHT Legal and Regulatory Compliance 3

Question 1

Under OSHA's Bloodborne Pathogens Standard, what is the required response after a needlestick injury in a dialysis facility?

Accepted Answer

Immediately wash the wound, report to the supervisor, and follow the facility's exposure control plan for medical evaluation

Answer

OSHA requires immediate first aid (washing the wound with soap and water), prompt reporting to the supervisor, documentation of the exposure, and medical evaluation per the exposure control plan—which includes baseline testing and consideration of post-exposure prophylaxis.

Question 2

The Patient Self-Determination Act (PSDA) requires dialysis facilities to do which of the following?

Accepted Answer

Inform adult patients of their right to make advance directives and document whether one exists

Answer

The PSDA requires healthcare facilities receiving Medicare or Medicaid funding to inform adult patients upon admission or enrollment of their right to make advance directives and to document whether the patient has one. Facilities cannot condition care on whether a patient has an advance directive.

Question 3

What is the minimum frequency required by CMS for reviewing and updating the dialysis patient care plan?

Accepted Answer

Every 3 months (quarterly)

Answer

CMS Conditions for Coverage require that each dialysis patient's individualized care plan be reviewed and updated at least quarterly (every 3 months) by the interdisciplinary team. More frequent updates are required when there is a significant change in the patient's condition.

Question 4

Under CMS regulations, what is the maximum time allowed from a patient's complaint to receiving a formal response from the dialysis facility?

Accepted Answer

30 days

Answer

CMS ESRD Conditions for Coverage require dialysis facilities to have a grievance process and must provide a written response to formal patient grievances within 30 days of receiving the grievance. The facility must also document the grievance and its resolution in the patient's record.

Question 5

What is the primary purpose of the CCHT certification credential?

Accepted Answer

To demonstrate competency and national standardized knowledge in hemodialysis technology

Answer

The CCHT credential, awarded by the Nephrology Nursing Certification Commission (NNCC), demonstrates that the technician has met national standards of knowledge and competency in hemodialysis technology. It is a professional certification, not a federal license, though some states require it for employment.

CCHT - Certified Clinical Hemodialysis Technician Practice Test

CCHT - Certified Clinical Hemodialysis Technician Practice Test

CCHT Legal and Regulatory Compliance 3