VAN critical skills

What is the correct dressing for a tunneled dialysis catheter?

• Sterile dressing kit using biopatch

• Sterile dressing kit using triple antibiotic ointment/gauze

• Sterile dressing kit using gauze only

• Clean dressing using biopatch

What is the correct dressing for a non-tunneled dialysis catheter?

• sterile dressing using triple antibiotic ointment/gauze

• sterile dressing using gauze only

• sterile dressing using a 2.5/7.0mm biopatch

• sterile dressing with nothing applied to insertion site

When would a VAN RN need to change a dialysis dressing catheter?

• Emergent dressing change that has a statlock when HD is unavailable

• Emergent dressing change and floor RN needs backup (not sure how to complete dressing change)- HD is unavailable

• All of the above

What is the correct heparin concentration (when ordered by the provider) for de-accessing any dialysis catheter?

• heparin 100u/ml

• heparin 5000u/ml

• heparin 1000u/ml

• none of the above

What is the correct disinfection process for accessing/de-accessing dialysis catheters?

• Soak with alcohol/4x4 gauze for 5 minutes & scrub the hub for 15 seconds with large alcohol pads

• Soak with alcohol/4x4 gauze for 5 minutes & scrub the hub for 10 seconds using a site scrub

• Scrub the hubs for 15 seconds using the site scrubs

• none of the above

Everyone in the room must be wearing a mask (including the patient) when accessing or de-accessing a dialysis catheter:

• True

• False

A written order is not required to pull hemodialysis fistula needles

• True

• False

Where are hemodialysis CPG's located?

• nursing portal

• collaboration site

• hemodialysis share point directory

What is the correct volume of cap off medication (heparin, tri-sodium citrate, or TPA) for hemodialysis catheters?

• Volume of each lumen (indicated on each clamp)

• 5 ml

• 1 ml

• 10 ml

Which caps are used for dialysis catheters?

• red end caps

• curos caps

• neutral end caps

• antimicrobial clear guard caps