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Exam Code: CHBT
Exam Name: CHBT (Certified Hemodialysis Bio-Medical Technician)
Number of Questions: 150 multiple-choice questions.
Duration: 3 hours (180 minutes).
Passing Score: Determined by BONENT (typically a scaled score).
Exam Delivery: Computer-based testing at approved testing centers.
Certification Body: Board of Nephrology Examiners Nursing and Technology (BONENT)
Certification: CHBT (Certified Hemodialysis Bio-Medical Technician)

DOMAIN I: MEDICAL MACHINE MAINTENANCE (24%)
- Basic hydraulic and electronic circuitry
- Purpose and operation of dialysis-related medical equipment
- Purpose and use of test equipment and maintenance
- Maintenance for medical equipment (e.g., water treatment equipment, dialysis equipment, testing equipment, and mechanical/electrical systems)
- Maintenance of machines to complete all scheduled treatments

DOMAIN II: QUALITY ASSESSMENT AND PERFORMANCE IMPROVEMENT (QAPI) (7%)
- QAPI principles related to biomed responsibilities
- Alerts and recalls, or risk management investigations related to medical equipment

DOMAIN III: WATER TREATMENT SYSTEM MANAGEMENT (30%)
- Procedures for the processing of water samples
- AAMI analysis water samples
- Regulatory requirements for water quality
- Clinical manifestations for out-of-range test results
- Cultures and endotoxins for water treatment system
- Water system cleaning and disinfection requirements
- Theory and test methods of water treatment component operation
- Valve tags, component labels, directional tape, system schematic, valve legend
- State regulatory requirements for alternate water treatment plan and update as needed
- Requirement for secure water room

DOMAIN IV: CONCENTRATE SYSTEMS MANAGEMENT (11%)
- Bicarb and acid
- Principles for testing of specific gravity, conductivity, or pH
- Knowledge of concentrate chemistry
- Cultures and endotoxins of dialysate
- Maintenance of concentrate equipment
- Concentrate equipment cleaning and disinfection requirements

DOMAIN V: REPROCESSING OF DIALYZER (4%)
- Principles for reprocessing programs
- Reprocessing equipment (e.g., automated, manual)
- Water treatment systems for reprocessing equipment
- Physical plant requirements for a reprocessing program

DOMAIN VI: LIFE SAFETY EQUIPMENT AND PHYSICAL PLANT MAINTENANCE (9%)
- Requirements for life safety equipment
- Inspections on life safety equipment
- Vendors for repair of life safety equipment
- Routine inspections of physical plant as per quality requirements
- Vendors for repairs related to physical plant

DOMAIN VII: DOCUMENTATION PRACTICES (7%)
- Documentation of repair and maintenance (e.g., water treatment, medical equipment, physical plant)
- Documentation practices
- Review, audit, and trend logs

DOMAIN VIII: PROFESSIONAL RESPONSIBILITY (8%)
- Work-related vocabulary, symbols, abbreviations, etc.
- Confidentiality of patient and employee information
- Regulatory organizations (e.g., AAMI, CMS, OSHA)
- Maintenance of professional certification
- Support staff on technical issues related to medical equipment
- Types of and safe handling of medical waste
- Support staff in-service related to biomedical and clinical equipment
- Infection control procedures