BONENT CHT study plan

Map each stage of a dialysis water treatment train (pretreatment, carbon, softening, reverse osmosis, distribution loop) and state the purpose of each component

State the monitoring frequency and action limits for chlorine/chloramine, hardness, and conductivity testing in a dialysis water system

Explain how reverse osmosis membranes, carbon tanks, and water softeners fail and what the technician should check first

Identify the correct sampling sites for water and dialysate testing and describe proper collection technique

Explain how proportioning systems mix acid concentrate and bicarbonate to produce final dialysate and verify the correct mixing ratio for each concentrate type

Describe how conductivity, temperature, and pH are monitored and what machine response should follow an out-of-range reading

Sequence the corrective actions for a positive chlorine breakthrough, a failed hardness test, and a low conductivity alarm

Distinguish dialysate-side from blood-side alarms and state the immediate patient-safety action for each

Trace the extracorporeal blood circuit and the dialysate circuit, naming each component and its function

Explain how volumetric ultrafiltration control works and how the machine detects a UF error

Sequence the setup, priming, and safety-check steps before a treatment begins

Interpret common machine parameters and alarm messages (TMP, arterial pressure, venous pressure, air detector, blood leak) and state the correct response

Describe the verification steps performed before returning a machine to service after a repair or disinfection

Demonstrate, in writing, a full pre-treatment machine check from power-on through primed and verified ready state

Explain how dialyzer and blood line selection, anticoagulation settings, and treatment time are matched to a prescribed prescription

Describe how to verify machine delivery of the prescribed sodium, bicarbonate, temperature, and UF goal

Perform a pre-, intra-, and post-treatment patient assessment sequence including weight, vital signs, access assessment, and fluid-goal review

Differentiate hypotension, cramping, disequilibrium syndrome, air embolism, and hemolysis by presenting signs and state the immediate intervention for each

Calculate and interpret Kt/V and urea reduction ratio and explain what a below-target result implies for the care team

Describe how to recognize and respond to a suspected dialyzer reaction or blood leak during treatment

Describe routine care of arteriovenous fistulas, grafts, and catheters, including assessment for infection and dysfunction

Apply standard precautions, hand hygiene, and PPE selection to cannulation, catheter care, and machine disinfection tasks

Explain the isolation and surveillance practices used for hepatitis B and other bloodborne pathogens in the dialysis unit

Sequence the disinfection and rinse steps for a dialysis machine between patients and at the end of the day

Identify the regulatory framework that governs dialysis facilities, including the Conditions for Coverage and the role of surveyors and ESRD networks

Explain the technician's scope of practice, certification and recertification requirements, and reporting obligations for unsafe practice

Describe unit safety practices for electrical equipment, hazardous chemical handling, fire response, and sharps injury follow-up

Outline how patient education and multidisciplinary care planning are documented and reviewed

Complete a full-length timed practice examination under exam conditions

Rank missed items by domain and subtopic to identify residual weak areas

Re-teach the two lowest-scoring subtopics using the study materials built in earlier weeks

Assemble a one-page rapid-review sheet of high-yield numbers, limits, and response steps