Module 9: Emergency Planning Self-Test Sample Questions

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* 1. What are the two main types of emergencies that can affect dialysis clinics?

Earthquakes and Floods

Natural and Man-made

Ice Storms and Hurricanes

Chemical spills and Fires

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* 2. Why are emergencies challenging in dialysis?

They require extra staffing the clinic does not have

Patients are happy because they don’t have to come in

They are likely to be disruptive, but we cannot predict how

The clinic will need armed guards and special air filters

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* 3. What kinds of disaster planning do the CMS rules require dialysis clinics to do?

Planning, training, patient tracking, documentation, communication

Emergency generators, companion hospitals, transitional housing

Dialysis diet catering, home water delivery, temporary patient income

Disaster planning is local and regional; CMS is not involved in this

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* 4. What is true of state rules for emergency preparedness compared to the CMS requirements?

State rules and CMS rules are about the same

States can require clinics to do more than CMS does

States can never be more stringent than CMS

States do not make rules that affect dialysis clinics

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* 5. The kidney community has its own planning group to coordinate and direct disasters, called:

TJC

NCC

ESRD

KCER

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* 6. What must your clinic be sure that local power and water companies always know?

How much power wattage or water the clinic uses

How many staff and patients to expect on each shift

Where the clinic is, what dialysis is, whom to contact

The next service date for the water treatment system

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* 7. If patients must evacuate your area, what is a valid concern about special needs shelters?

They are overcrowded, which can spread disease

They accept pets, which could cause anxiety or allergies

They may not be able to safely care for dialysis patients

They do not admit families, and patients do not want to be alone

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* 8. How will you know which patients know how to and can safely disconnect themselves?

Ask the patient and s/he will tell you

Hand out a written quiz and see who passes

Let the patient show you after a treatment

Show all of the patients a monthly video

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* 9. What is the main benefit of “clamp and cut” for disconnecting from a dialysis machine quickly?

It can be done with one hand

It requires a disinfected scissors

It is risk-free and anyone can do it

Patients with dementia will not try it

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* 10. Which of the following symptoms have been linked to disaster-related stress?

Mood swings, headaches, stomach upset, changes to vision and hearing

Oversharing with others around you, delusions of grandeur, hair loss

Itchy skin rash, pins and needles sensations, unquenchable thirst

Muscle aches, joint instability, bone pain, apthous ulcers in the mouth