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

QAPI is a data-driven continuous improvement process that identifies gaps in care quality, implements changes, and measures outcomes to systematically improve patient safety.

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

AAMI RD52 requires monthly microbiological testing of dialysis water and dialysate, with more frequent testing after system maintenance or when results approach action limits.

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

Higher AVF rates are associated with lower infection rates and mortality; the CMS QIP tracks AVF and catheter rates as quality performance measures.

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

The CCHT must verify patient identity using two identifiers (name + DOB or ID number) before every treatment to prevent wrong-patient errors.

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

Before changing the prescription, systematically evaluate all factors that could reduce measured Kt/V to identify the correctable cause.

CCHT - Certified Clinical Hemodialysis Technician Practice Test

CCHT - Certified Clinical Hemodialysis Technician Practice Test

CCHT Quality Control 3