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Understanding the exact breakdown of the BONENT Certified Hemodialysis Technologist/Technician test will help you know what to expect and how to most effectively prepare. The BONENT Certified Hemodialysis Technologist/Technician has 150 multiple-choice questions . The exam will be broken down into the sections below:
| BONENT Certified Hemodialysis Technologist/Technician Exam Blueprint | ||
|---|---|---|
| Domain Name | % | Number of Questions |
| Patient Care | 45% | 68 |
| Machine Technology | 12% | 18 |
| Water Treatment | 15% | 23 |
| Infection Control | 18% | 27 |
| Education/Personal Development | 10% | 15 |
BONENT Certified Hemodialysis Technologist/Technician Study Tips by Domain
- Verify patient ID with two identifiers and match the dialysis prescription (dialyzer, blood flow, dialysate, time)—red flag: starting treatment with a “usual order” when today’s order differs.
- Use pre-/post-dialysis weights to set ultrafiltration; practical threshold: if ordered UF exceeds safe tolerance (e.g., very high UFR or symptomatic during setup), notify RN/charge nurse before initiating.
- Assess access patency before cannulation (look, listen, feel for bruit/thrill)—red flag: absent thrill/bruit or new swelling/pain; hold cannulation and escalate.
- Cannulate using appropriate needle size, direction, and aseptic technique; common trap: infiltrations from poor needle stabilization—secure lines and recheck after the pump starts.
- Monitor vitals and symptoms throughout treatment; priority rule: treat hypotension first (stop/reduce UF, Trendelenburg, saline per protocol) before troubleshooting non-urgent machine alarms.
- Recognize and respond to emergencies (air embolism, hemolysis, chest pain, anaphylactoid reactions); red flag: sudden dyspnea/chest pain or dark “cola” blood—stop blood pump, clamp lines, and get immediate clinical assistance per facility protocol.
- Before initiating treatment, complete a full pre-use machine check (self-test, alarms, air detector, venous clamp) and verify the dialyzer/lines match the prescription—red flag: bypassing checks after a room turnover.
- Set and confirm critical prescription parameters (BFR, DFR, UF goal/rate, dialysate temperature and conductivity) and re-check after any pause—common trap: confusing UF goal (mL) with UF rate (mL/hr) during edits.
- Interpret and respond to pressure trends (arterial, venous, TMP) rather than single numbers—priority rule: rapidly rising venous pressure suggests outflow/needle issue; rising TMP suggests clotting or dialyzer/line restriction.
- Manage anticoagulation delivery as ordered and monitor for clotting signs in the circuit—red flag: visible fibrin, dark streaking in the dialyzer, or frequent saline flushes needed to maintain pressures.
- Recognize and troubleshoot alarm categories (air, blood leak, conductivity/temperature, water alarms) and never override safety interlocks—contraindication: do not resume blood pump after an air alarm until the source is found and the circuit is cleared per policy.
- Perform safe rinseback, termination, and disinfection/heat-sterilization steps per manufacturer instructions and facility logs—common trap: incomplete rinse leading to disinfectant residue exposure or missed documentation that fails audit requirements.
- Verify the water treatment flow path (pretreatment → RO → distribution loop) and document required checks each shift; red flag: skipped logs or “assumed OK” readings are common audit failures.
- Confirm chlorine/chloramine testing is performed at the correct sampling point and within facility limits before first patient; common trap: testing after carbon tanks but not between them, missing first-tank breakthrough.
- Trend RO performance using conductivity/TDS and percent rejection; priority rule: sudden drops in rejection or rising product water conductivity require immediate action before treatments continue.
- Maintain distribution loop integrity (continuous circulation, proper disinfection schedule, no dead legs); red flag: warm stagnant sections or infrequent disinfection correlate with high microbial counts/endotoxin risk.
- Respond to alarm conditions correctly (low feed pressure, high conductivity, low product flow) per policy and manufacturer guidance; common trap: silencing alarms without correcting the cause or notifying the RN/biomed.
- Use proper sampling and culture technique for bacteria/endotoxin monitoring and verify action levels; red flag: contaminated sampling (touching ports, non-sterile containers) can mask true system problems and delay corrective disinfection.
- Perform hand hygiene at the correct moments (before/after patient contact, before aseptic tasks, after blood/body fluid exposure, after touching patient surroundings); red flag: wearing gloves is not a substitute for hand hygiene.
- Use appropriate PPE for dialysis tasks (e.g., face/eye protection when priming, cannulating, or handling bloodlines); common trap: removing PPE before completing blood cleanup increases exposure risk.
- Apply vascular access asepsis consistently (scrub-the-hub for catheter connections and proper skin antisepsis for cannulation); priority rule: do not connect/disconnect a catheter without a documented antiseptic dry time.
- Clean and disinfect the station between patients using correct product, dilution, and contact time; red flag: wiping surfaces dry too soon negates disinfectant effectiveness.
- Prevent cross-contamination by dedicating supplies to a single patient and avoiding shared items (tape rolls, tourniquets, medication vials); common trap: carrying used supplies from one station to another spreads organisms.
- Follow bloodborne pathogen controls for spills and sharps (immediate disposal into sharps container, no recapping, correct spill kit steps); red flag: overfilled sharps containers or needle manipulation at the chairside is an avoidable exposure.
- Verify scope and supervision before performing any task—red flag: independently administering medications, altering prescriptions, or making clinical judgments outside facility policy and state regulations.
- Use structured communication (SBAR/read-back) for critical results and orders—common trap: assuming a verbal order is correct without repeating it back and documenting per policy.
- Protect patient privacy under HIPAA—red flag: discussing treatments in public areas, leaving PHI on screens, or sharing dialysis details with family without documented permission.
- Maintain competency with ongoing education and skills validation—priority rule: do not perform infrequent/high-risk procedures (e.g., needle cannulation in difficult access) until you have current documented competency.
- Practice professional boundaries and respectful care—common trap: accepting gifts, sharing personal contact information, or engaging in social media posts that could identify a patient.
- Document objectively, promptly, and only what you observed/did—red flag: late charting without noting a late entry, copying prior notes, or charting interventions you did not personally perform.
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BONENT Certified Hemodialysis Technologist/Technician Aliases Test Name
Here is a list of alternative names used for this exam.
- BONENT Certified Hemodialysis Technologist/Technician
- BONENT Certified Hemodialysis Technologist/Technician test
- BONENT Certified Hemodialysis Technologist/Technician Certification Test
- BONENT
- BONENT CHT
- CHT test
- BONENT Certified Hemodialysis Technologist/Technician (CHT)
- Certified Hemodialysis Technologist/Technician certification
