RENAL SKILL-A-THON 2024

VASCULAR ACCESS

What is the gold standard/best form of permanent vascular access for hemodialysis patients?

Arterio Venous Fistula (AVF)

HD

What are the reasons why hemodialysis nurses require emergency, medical or surgical review of their patients when their patients’ health status deviates from normal? Select all that apply. Multiple answers.

What is abnormal to a non-renal patient can be normal to a Renal patient (BP threshold, Blood Test Results, etc). Dialysis Nurses know their patients well and the trend of their blood tests and vital signs.

Renal patients are complex to manage and oftentimes with multiple co-morbidities. Acute issues from these co-morbidities requires alteration of Hemodialysis prescription to ensure safety and achieve optimal HD treatment. Hence identifying the issue is necessary.

Co-morbidities of Renal patients can be exacerbated by continuing hemodialysis if deviation from normal has been flagged and left unresolved.

Any deviation from a renal patient’s normal can be considered as an actual or potential medical emergency if left undiagnosed.

PD

What are the possible causes of Peritonitis?

Not closing doors, Not wearing a mask, not washing hands

CKD

Select from the list causes of renal failure. Multiple Answers. Select all that apply.

AKI

Ant-GBM Disease

Polycystic Kidney Disease

Diabetes

Hypertension

ANCA Vasculitis

WATER QUALITY

HD may expose a patient to more than 300L of water per week across the semi-permeable membrane of the dialyser, and as IV fluid replacement used in haemodiafiltration is now produced on-line from dialysate there is 100 times increase in water exposure to dialysis patients.

Control and monitoring of water quality is essential. What is the recommended limit of Total Viable Microbial and Endotoxins Count as per ISO Standards (2009).

Total Viable Microbial Count Limit 100 cfu/ml; Endotoxins 0.25 Eu/ml; Action Level (50%).