Legal and Regulatory Compliance Flashcards
6 cards from real CCHT practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 6 Legal and Regulatory Compliance flashcards as text
Under OSHA's Bloodborne Pathogens Standard, what is the required response after a needlestick injury in a dialysis facility?
Answer: Immediately wash the wound, report to the supervisor, and follow the facility's exposure control plan for medical evaluation
OSHA requires immediate first aid (washing the wound with soap and water), prompt reporting to the supervisor, documentation of the exposure, and medical evaluation per the exposure control plan—which includes baseline testing and consideration of post-exposure prophylaxis.
The Patient Self-Determination Act (PSDA) requires dialysis facilities to do which of the following?
Answer: Inform adult patients of their right to make advance directives and document whether one exists
The PSDA requires healthcare facilities receiving Medicare or Medicaid funding to inform adult patients upon admission or enrollment of their right to make advance directives and to document whether the patient has one. Facilities cannot condition care on whether a patient has an advance directive.
What is the minimum frequency required by CMS for reviewing and updating the dialysis patient care plan?
Answer: Every 3 months (quarterly)
CMS Conditions for Coverage require that each dialysis patient's individualized care plan be reviewed and updated at least quarterly (every 3 months) by the interdisciplinary team. More frequent updates are required when there is a significant change in the patient's condition.
Under CMS regulations, what is the maximum time allowed from a patient's complaint to receiving a formal response from the dialysis facility?
Answer: 30 days
CMS ESRD Conditions for Coverage require dialysis facilities to have a grievance process and must provide a written response to formal patient grievances within 30 days of receiving the grievance. The facility must also document the grievance and its resolution in the patient's record.
What is the primary purpose of the CCHT certification credential?
Answer: To demonstrate competency and national standardized knowledge in hemodialysis technology
The CCHT credential, awarded by the Nephrology Nursing Certification Commission (NNCC), demonstrates that the technician has met national standards of knowledge and competency in hemodialysis technology. It is a professional certification, not a federal license, though some states require it for employment.
A dialysis facility receives an unannounced survey visit from a CMS state survey agency. What is the correct response of the facility and staff?
Answer: Cooperate fully with surveyors, provide requested records and access, and answer questions honestly
CMS surveys are typically unannounced. Facilities are required to cooperate fully with surveyors—providing access to all areas, records, and staff as requested. Interfering with a survey, coaching staff to give misleading information, or withholding records is a serious CfC violation.