CCHT case studies
CCHT · Put your knowledge to work in context.
The Certified Clinical Hemodialysis Technician (CCHT) credential is a nephrology-specific certification from the Nephrology Nursing Certification Commission (NNCC), designed for practicing dialysis technicians who hold a high school diploma or a GED. It signals that a technician has met a national practice standard in hemodialysis care, and NNCC frames its certification programs around patient safety and quality of care rather than generalist testing. The CCHT case studies are 5 cases and about 3,497 words.
1Persistent Hypotension Mid-Treatment: Adjusting the Plan, Not Just the Saline
R, 68, has been on in-center hemodialysis for 14 months. His prescribed dry weight is 70.0 kg; he arrived at 74.2 kg with a UF goal of 4.0 L over 4 hours, blood flow 350 mL/min, dialysate 36.5°C, no sodium modeling.
719 words, about 4 min2Low Conductivity Alarm on More Than One Machine
You are 45 minutes into a 4-hour treatment on Ms. K when her machine alarms "Low Conductivity," goes into bypass, and stops the blood pump.
706 words, about 4 min3Rising Chlorine Result at the Carbon Tank Effluent
Your unit runs 12 stations until 6 p.m. The water treatment log shows a total chlorine result of 0.06 mg/L at the effluent of the second (lag) carbon tank, drawn at 6 a.m.
733 words, about 4 min4Exit-Site Drainage and Chills in a Catheter Patient
D, 59, dialyzes through a tunneled right internal jugular catheter placed three weeks ago. He arrives for his Tuesday treatment with a temperature of 37.9°C and says he had chills overnight.
683 words, about 3 min5Scope, Precepting, and a Verbal Order on a Short-Staffed Shift
You are an experienced CCHT precepting a new technician on a shift with two callouts: you are covering five patients instead of four. Three things happen in one hour.
656 words, about 3 min