After participating in this educational activity, attendees should be able to:
1. Nurse will state the difference between continuous hemofiltration and continuous hemodialysis.
2. Nurse will differentiate between diffusion and convection and be able to state which molecules are cleared with each
3. Nurse will verbalize what each of the settings on the PrisMax operational screen controls (PBP, BFR, PFR, Dialysate, and Replacement Fluid).
4. Nurse will return demonstrate initial set up of the PrisMax circuit in CVVHDF mode including set up of the auto effluent accessory.
5. Nurse will return demonstrate the steps to return the patient's blood and place the system to recirculate saline.
6. Nurse will navigate the operational screen and demonstrate appropriate adjustment of the deaeration chamber.
7. Nurse will compare patient pressure graphs over time to identify trends indicative of clotting or clogging.
8. Nurse will assess pressure values and distinguish between clogging and clotting.
9. Nurse will identify alarms and follow the on-screen steps to resolve them.
10. Nurse will state the effect that citrate has on blood calcium, as well as the indication for RCA use with CRRT.
11. Nurse will state contraindications of RCA use.
12. Nurse will synthesize patient lab values in order to citrate and calcium infusions per protocol.
13. Nurse will express the risk of “citrate lock” and explain the steps to prevent and screen for it.


Sarah Caddeo, MSN, RN, ACCNS-AG
MICU/SICU/NCCU Nurse Educator
Baystate Medical Center

Kathy Worthington, MSN, RN 
Renal Clinical Educator CRRT/HD/TPE
Baxter INternational Inc.

Faculty Disclosure

The design and content of Baystate Continuing Interprofessional Education ( CE ) activities support quality improvement in healthcare and provide fair and balanced views of therapeutic options.  Faculty or planner conflicts of interest are resolved before the educational activity.

None of the members of the faculty and planning committee for this educational event have commercial relationships with any entity producing, marketing, re-selling or distributing health care goods and services consumed by or used on patients.


Session date: 
10/27/2021 - 9:00am to 4:00pm EDT
Baystate Medical Center
MICU Classroom
Springfield, MA 01199
United States
  • 5.00 ANCC Contact Hours
  • 5.00 BCIPE Instructional Hours

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