CHBT Infection Control and Disinfection Procedures 3

Question 1

What is the AAMI standard maximum allowable bacterial count in hemodialysis dialysate?

Accepted Answer

100 CFU/mL

Answer

500 CFU/mL

Answer

1000 CFU/mL

Answer

10 CFU/mL

Question 2

Ultrapure dialysate (meeting AAMI ultrapure standards) is particularly recommended for:

Accepted Answer

High-flux dialysis and hemodiafiltration where backfiltration could carry contaminants into the bloodstream

Answer

Patients with diabetes only

Answer

Pediatric patients only

Answer

Peritoneal dialysis

Question 3

Which practice is MOST effective at preventing cross-contamination between hemodialysis patients?

Accepted Answer

Consistent hand hygiene between each patient contact

Answer

Wearing the same gloves for all patients

Answer

Using alcohol spray on gloves instead of changing them

Answer

Cleaning surfaces weekly

Question 4

What does the term 'pyrogenic reaction' refer to in hemodialysis?

Accepted Answer

A febrile response caused by bacterial or endotoxin contamination of dialysate or equipment entering the bloodstream

Answer

A chemical burn from concentrate spill

Answer

A reaction to contrast dye

Answer

An allergic reaction to the dialyzer membrane

Question 5

How frequently should dialysis station surfaces be disinfected between patients?

Accepted Answer

After every patient treatment, before the next patient occupies the station

Answer

Once daily at the end of the shift

Answer

Weekly deep cleaning only

Answer

Only when visibly soiled with blood

Question 6

What is the correct response when a hemodialysis staff member sustains a needlestick injury?

Accepted Answer

Immediately wash the wound, report the exposure, and follow the facility's bloodborne pathogen exposure control plan

Answer

Apply alcohol and continue working

Answer

Wait to see if symptoms develop before reporting

Answer

Report only if the source patient has a known infection