CCHT Quality Control 3

Question 1

What does a dialysis facility's QAPI (Quality Assessment and Performance Improvement) program primarily aim to achieve?

Accepted Answer

Systematically identify quality deficiencies, implement improvements, and measure outcomes to improve patient safety and care quality

Answer

Maximize profit through efficient supply use

Answer

Satisfy regulatory surveyors during annual inspections only

Answer

Track employee attendance and performance

Question 2

How frequently must dialysis water bacteria and endotoxin testing be performed according to AAMI standards?

Accepted Answer

Monthly at minimum; more frequently for high-risk or after system changes

Answer

Once per year is sufficient for stable systems

Answer

Every 6 months for established facilities

Answer

Only when a waterborne infection outbreak is suspected

Question 3

What is the significance of tracking vascular access types in a dialysis facility's quality program?

Accepted Answer

AVF use rates reflect best practice adherence; facilities track AV fistula placement to reduce infection-prone catheters

Answer

Access type data is only important for billing purposes

Answer

Graft use is preferred and should be maximized

Answer

Access type has no impact on patient outcomes

Question 4

What is the role of the CCHT in preventing wrong patient, wrong treatment errors in the dialysis unit?

Accepted Answer

Verify patient identity with two identifiers before every treatment and confirm treatment prescription matches the patient

Answer

Only the charge nurse is responsible for patient identification

Answer

Ask the patient their name at the beginning of treatment only

Answer

Patient identification is only checked at the first treatment

Question 5

When a hemodialysis patient's Kt/V consistently falls below 1.2 despite no apparent changes, what is the first step in the quality improvement process?

Accepted Answer

Conduct a systematic review of treatment delivery factors: access, blood pump speed, treatment time, and sampling technique

Answer

Immediately change the dialyzer to a larger surface area

Answer

Increase heparin dose to prevent clotting

Answer

Discharge the patient to another facility

Question 6

What documentation is required following an adverse event during hemodialysis, and within what timeframe should initial reporting occur?

Accepted Answer

Complete incident report immediately after ensuring patient safety, document in the medical record, and report serious events to relevant authorities as required

Answer

Informal verbal report to the supervisor is sufficient; documentation can wait until the end of the shift

Answer

Only document adverse events if the patient complains formally

Answer

Adverse event documentation is the responsibility of the nursing staff only