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BONENT-CHT Exam Format | BONENT-CHT Course Contents | BONENT-CHT Course Outline | BONENT-CHT Exam Syllabus | BONENT-CHT Exam Objectives

Exam Code: CHT

Exam Name: BONENT Certified Hemodialysis Technologist - Technician (CHT)

Format: 150 multiple-choice questions.

Time Limit: 3 hours.

Delivery Methods:

Paper and Pencil Exam (PPE): Offered at specific locations and dates (check the PPE schedule on the BONENT website).

Computer-Based Testing (CBT): Available at approved testing centers, with scheduling flexibility after application approval.

Scoring: Uses a scaled scoring system (1–100). A minimum scaled score of 70 is required to pass. Results are provided immediately for CBT; PPE results may take longer.



DOMAIN I: Patient Care (45%)

- Evaluate Patient Pre and Post Treatment

- Evaluate fluid management

- Replacement therapy

- Sequential ultrafiltration

- Ultrafiltration concepts

- Collect and evaluate patient data

- Vital signs

- Weight evaluation

- Access patency

- Edema

- Signs and symptoms of infection

- Hemostasis

- Orthostasis

- Need for supplemental oxygen

- Document exam

- Report complaints or observations to nurse

- Document observations in medical record

- Discuss ultrafiltration plan with nurse

- Evaluate, Intervene and Manage Treatment

- Pre treatment

- Set treatment parameters per physician order (e.g., bath, blood flow rate, dialysate flow rate)

- Check reuse dialyzer label

- Inspect dialyzer

- Evaluate access (e.g., patency, infection, appearance)

- Prepare vascular access for cannulation

- Prepare CVC and change dressing

- Gain access

- Collect laboratory samples (e.g., cultures, blood, urine)

- Administer heparin for initiation of treatment

- Verify patient identification at initiation of dialysis

- treatment (e.g., set parameters, blood flow rate, dialysate flow)

- Document observations and patient data

- During treatment

- Collect laboratory samples (e.g., cultures, blood, urine)

- Monitor and record treatment data

- Identify and respond to complications

- Notify nurse of any changes in patient condition

- Administer oxygen to patient by cannula or mask

- Respond to dialysis machine alarms

- Document observations and patient data

- Post treatment

- Collect laboratory samples (e.g., cultures, blood, urine)

- Perform procedures to terminate dialysis treatment

- Needle site care per protocol (e.g., removal, pressure, dressing)

- Catheter care per protocol

- Document observations and patient data

- Check dialyzer efficiency (e.g., clots, fibers, leaks)



DOMAIN II: Machine Technology (12%)

- Maintain Dialysis Machine

- Clean and disinfect dialysis equipment

- Record all machine disinfection

- Check readiness of emergency equipment

- Verify the calibration of ancillary medical equipment

- Recognize errors in blood and dialysate flow rates

- Set-up Machine

- Prepare dialysis equipment for treatment (e.g., prime, rinse, fluid delivery system)

- Prepare auxiliary equipment (e.g., oxygen therapy, glucometer, conductivity meter)

- Rotate dialysis equipment in dialysis unit

- Perform residual chemical checks

- Perform required safety checks on dialysis equipment (e.g., conductivity, pH, temperature)

- Test alarms (e.g., air detector, venous/arterial pressure, blood leak detector)

- Prepare and verify bicarbonate and acid solutions

- Document daily equipment logs

- Evaluate Machine Operation

- Understand quality control of dialysis equipment per Association for the Advancement of Medical

- Perform rinse procedures for dialysis delivery systems

- Perform disinfect procedures for dialysis delivery systems

- Understand equipment maintenance records for compliances with regulatory and standard setting

- Adhere to equipment maintenance procedures and schedules



DOMAIN III: Water Treatment (15%)

- Understand Components/Design of Systems

- Recognize actions

- Recognize the process of ultraviolet light exposure

- Maintain Systems

- Understand the process of disinfecting water treatment system

- Understand the maintenance of all treatment components

- Perform water treatment system checks

- Monitor and Evaluate Systems

- Understand quality control of reprocessing equipment per AAMI standards

- Monitor total chlorine or chloramines

- Maintain water treatment systems records for compliance with regulatory and standard setting



DOMAIN IV: Infection Control (18%)

- Maintain a Clean and Safe Patient Environment

- Follow all clean/dirty procedures in order to eliminate cross-contamination

- Recognize complications in dialysis treatments regarding infectious diseases (e.g., AIDS, TB, influenza)

- Ancillary equipment and supplies

- Demonstrate understanding and perform cannulation using aseptic technique for needle insertion and all

- Glove changing

- Wash machines, station area, and chairs after each patient run

- Hand washing

- Use Dialysis Precautions

- Personal protective equipment (PPE) (e.g., gown, gloves, mask)

- Disinfecting dialysis station

- Disposal of biohazard waste and SHARPS

- Implement Isolation Procedures

- Designated equipment

- Understand CMS requirements for designated staff

- Understand status of patients hepatitis survey

- Disinfection



DOMAIN V: Education and Professional Development (10%)

- Educate Patient

- Advise patient of discharge instructions (e.g., diet, fluid intake, medication regiment)

- Advise patient and family members based on physicians orders (e.g., personal hygiene, self- care, treatment modalities)

- Explain dialysis concepts to patients

- Review and reinforce dialysis prescription

- Describe basic features of end stage renal disease (ESRD)

- Complications

- Hemodialysis treatment

- Psychosocial implications

- Dietary restrictions

- Treatment modality

- Describe treatment of acute renal failure

- Engage in Professional Development

- Continuing education of dialysis (e.g., attend meetings, workshops, conferences)

- Multidisciplinary care plans

- Medications in the dialysis clinic (e.g., anticoagulants, antihypertensives, erythropoietic stimulating agents (ESA))

- Proper body mechanics for patient and self

- Professional ethics and boundaries

- Dialysis unit safety procedures (e.g., fire drills, disaster drill, bomb threat)

- Professional literature

- Role of the preceptor

- Government regulations

- Treatment modalities (e.g., peritoneal, transplant, home hemodialysis)

- Understand Quality-Related Issues

- Document incidents (e.g., emergency-related, equipment/devices, patient care)

- Maintain documentation/data

- Process improvement

- Treatment

- Maintain storage of medications (e.g., heparin, normal saline, Xylocaine)

- Maintain storage of equipment and supplies

- Participate in quality assurance process improvement (QAPI) activities

- Participate in the development of dialysis unit objectives

- Demonstrate Communication Skills with Staff Members

- Promote a teamwork approach by offering information, advice, and assistance

- Contribute to constructive working relationships

- Participate in self and/or peer evaluations as directed

- Ensure the confidentiality of patient and employee information

- Assist in orientation of new staff members

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