Dialysis study guide

Resources

Free Dialysis Technician Study Resources

Comparable / supplemental to MEI Core Curriculum for the Dialysis Technician (7th ed.)
Legitimate, official, or high-quality free materials only. No pirated textbooks.


MEI Core Curriculum (7th ed.) — 12 Module Topic Areas

Source: MEI Core Curriculum page and 7th ed. practice-test product listing

#Module title
1The Dialysis Environment
2Kidneys and Kidney Failure
3Treatment Options for Kidney Failure
4The Person with End-Stage Kidney Disease
5Principles of Dialysis
6Hemodialysis Devices and Equipment
7Vascular Access
8Peritoneal Dialysis
9Hemodialysis Procedures
10Infection Control and Hemodialysis Complications
11Water Treatment and Equipment
12Emergency Planning and Response

MEI free supplements (official):


1) CDC Dialysis Infection Prevention & Safety

TitleURLCoversWhy usefulAccount / CE
Training: Infection Prevention in Dialysis Settingshttps://www.cdc.gov/dialysis-safety/hcp/training/index.htmlInfection risks in outpatient HD; CDC recommendations; toolsOfficial ~2-hr self-paced course for techs/nurses; aligns with Module 10 and CCHT/CHT infection domainsFree. For CE: CDC TRAIN, search WB4720 / WB4720R; post-test ≥75%; CE expires Aug 1, 2027. No fee
CE accreditation PDF (WB4720)https://www.cdc.gov/dialysis-safety/media/pdfs/WB4720-AfterAccreditation-508.pdfObjectives, audience (includes dialysis technicians), CE stepsConfirms free CE path and learning objectivesTRAIN account for credit
Best Practices / Core Interventions (BSI prevention)https://www.cdc.gov/dialysis-safety/hcp/clinical-safety/index.htmlSurveillance, hand hygiene, access care observations, staff competency, catheter reduction, CHG, hub disinfection, ointmentCore clinic infection-control expectations techs must followFree; no account
Resources & Toolshttps://www.cdc.gov/dialysis-safety/hcp/tools/index.htmlAudit tools, checklists, posters, ICAR for hemodialysis, staff videosPractical checklists for competency and station disinfectionFree

Maps to: Modules 7, 9, 10; BONENT Infection Control (18%); NNCC Environment.


2) CMS ESRD / Conditions for Coverage (public)

TitleURLCoversWhy usefulAccount / CE
CMS ESRD Facility Providers hubhttps://www.cms.gov/medicare/health-safety-standards/guidance-for-laws-regulations/dialysisCfC links, interpretive guidance, survey tools, laminates, PCT cert memosOne-stop official CMS page for tech-relevant regsFree
ESRD Program Interpretive Guidance v1.1 (PDF)https://www.cms.gov/Medicare/Provider-Enrollment-and-Certification/GuidanceforLawsAndRegulations/Downloads/esrdpgmguidance.pdfFull V-tags: infection control, water/dialysate (AAMI RD52/RD62 by reference), reuse, physical environment, patient care, personnelSurveyor language = what clinics must do; excellent for Modules 1, 10, 11, 12Free PDF
42 CFR §494.140 — Personnel qualificationshttps://www.law.cornell.edu/cfr/text/42/494.140PCT training topics (principles, cannulation, complications, water, infection, safety, reuse) + certification within 18 monthsExact federal training/certification mandateFree
42 CFR §494.40 — Water and dialysate qualityhttps://www.law.cornell.edu/cfr/text/42/494.40Incorporates ANSI/AAMI RD52:2004 (and referenced RD62)Legal basis for water testing techs must knowFree
ESRD Surveyor Laminates (ZIP) via CMS downloadsLinked from CMS dialysis page aboveWater system flow diagram / critical water & dialysate requirements; infection control; PCT certification orgs; lab tests at a glanceShort, study-friendly summaries of AAMI chemical limits & water pathFree
PCT certification survey guidance (SC-10-17)https://www.cms.gov/medicare/provider-enrollment-and-certification/surveycertificationgeninfo/policy-and-memos-to-states-and-regions-items/cms1234906Certification deadlines and survey expectationsContext for why CCHT/CHT matterFree

Maps to: Modules 1, 10, 11, 12; CCHT Role/Environment; BONENT Education & Water domains.


3) BONENT CHT (free handbook / outline)

TitleURLCoversWhy usefulAccount / CE
Candidate Examination Handbook (2024 PDF)https://bonent.org/wp-content/uploads/2024/05/FINAL-UPDATED-CANDIDATE-HANDBOOK-2024.pdfEligibility, policies, full CHT content outline, suggested readingsOfficial free study map for CHTFree PDF; no account to download
Standalone CHT content outline PDFhttps://bonent.org/wp-content/downloads/BONENT-cht-exam-content.pdfDetailed task list by domainCompact outline for study planningFree
CHT domain weights(in handbook)Patient Care 45%; Machine Tech 12%; Water 15%; Infection Control 18%; Education/Personal Dev 10%; 150 Q / 3 hrWeight study time to high-yield areas—
Online CHT practice examhttps://bonent.org/practice-test-cht/50-question official practicePaid (~$60–65) — not free; listed for awareness onlyAccount + fee

4) NNCC CCHT (free prep materials)

TitleURLCoversWhy usefulAccount / CE
CCHT Certification Preparation Guide (PDF)https://www.nncc-exam.org/sites/default/files/prepguide/cchtPrepGuide.pdfBlueprint, cognitive levels, sample questions + rationales, study tips, CMS contextBest free official CCHT study bookletFree PDF
CCHT test specifications / activitieshttps://www.nncc-exam.org/sites/default/files/specifications/cchtSpecifications.pdfClinical / Technical / Environment / Role activity listsKnow what tasks are testedFree
CCHT exam blueprinthttps://www.nncc-exam.org/sites/default/files/blueprints/cchtExamBlueprint.pdfClinical 48–52%; Technical 21–25%; Environment 13–17%; Role 10–14%Weight study timeFree
CCHT certification pagehttps://www.nncc-exam.org/certification/cchtEligibility, scoring (≈74% / standard score 95), reference list, practice-test infoOfficial exam overviewFree browse; official practice test is paid (~$30)
CCHT application booklethttps://www.nncc-exam.org/sites/default/files/applications/cchtApplication.pdfApplication rules, blueprint summaryProcess info (not content study)Free

5) NKF — free / low-cost CE & kidney education

TitleURLCoversWhy usefulAccount / CE
NKF PERC (Professional Education Resource Center)https://cme.kidney.org/Online CE courses, webcasts, podcasts for kidney care team incl. dialysis techniciansAccredited CE; some free activitiesFree account to claim CE; many activities free or member-discounted
Kidney Commute podcast (CE)https://www.kidney.org/news-stories/kidney-care-professionals-grab-your-headphones-and-earn-free-ce-goOn-the-go CE for techs/nurses/etc.Easy CE while commutingListen free; PERC login for credit
NKF Technician membership / CNNThttps://www.kidney.org/professionals/membership/techniciansTech-focused membership, CE benefitsOptional paid membership for more free CEMembership fees for full benefits
Hemodialysis Access (patient education)https://www.kidney.org/kidney-topics/hemodialysis-accessFistula / graft / catheter care, warning signsTechs reinforce access education dailyFree
Hemodialysis Access booklet (PDF)https://www.kidney.org/sites/default/files/11-50-0216_va.pdfAccess types, care, KDOQI-basedSolid Module 7 supplementFree
KDOQI Vascular Access 2019 guidelinehttps://www.kidney.org/professionals/kdoqi/guidelines-and-commentaries/vascular-access (guideline PDF linked from NKF)Clinical VA standardsAdvanced reference; skim for access monitoring conceptsFree to read on NKF

Maps to: Modules 2–4, 7, 9, 10.


6) AAMI water / dialysis standards — free vs paywalled

TitleURLCoversWhy usefulPaywall note
Full ANSI/AAMI dialysis water standards (RD52 / ISO 23500 series)AAMI / ISO purchase pages (e.g. ISO 23500-3:2024)Chemical & microbiological water quality, monitoringGold-standard technical textPaywalled — full standards not free
CMS Interpretive Guidance water sections (V176+)Same ESRD guidance PDF aboveAdopts ANSI/AAMI RD52:2004 (+ referenced RD62) as regulation; tables of max contaminants, monitoring expectationsBest free legal summary of water requirements techs must followFree
CMS “Water System Flow Diagram / Critical Water and Dialysate Requirements” laminateIn ESRD Surveyor Laminates ZIP on CMS dialysis pageTypical water-system path + critical limitsPocket study aid for Module 11Free
42 CFR §494.40https://www.law.cornell.edu/cfr/text/42/494.40Regulatory incorporation of AAMIShort legal referenceFree

Practical note: Study CMS free materials for exam/clinic practice; buy AAMI/ISO only if employer requires the full standard text.


7) NIH / NIDDK patient education (techs should know)

TitleURLCoversWhy usefulAccount / CE
Kidney Failure hubhttps://www.niddk.nih.gov/health-information/kidney-disease/kidney-failureWhat kidney failure is; treatment overviewPlain-language Module 2–3 foundationFree
Hemodialysishttps://www.niddk.nih.gov/health-information/kidney-disease/kidney-failure/hemodialysisHow HD works, access, in-center vs home, what patients feelExplains treatment in patient-facing terms techs use dailyFree
Choosing a Treatment for Kidney Failurehttps://www.niddk.nih.gov/health-information/kidney-disease/kidney-failure/choosing-treatmentHD, PD, transplant, conservative careModule 3 / modality educationFree
Treatment comparison charthttps://www.niddk.nih.gov/health-information/kidney-disease/kidney-failure/choosing-treatment/comparison-chartSchedule, location, diet, lifestyle by modalityQuick modality tableFree
Eating & Nutrition for Hemodialysishttps://www.niddk.nih.gov/health-information/kidney-disease/kidney-failure/hemodialysis/eating-nutritionFluid, K, Phos, Na, proteinHelps techs reinforce diet/fluid teachingFree
Peritoneal Dialysis (NIDDK site, same kidney-failure section)Search via NIDDK kidney failure hubPD basicsModule 8 supportFree

8) Other free official / high-quality training

TitleURLCoversWhy usefulAccount / CE
Kidney School (MEI) — free patient moduleshttps://kidneyschool.org/mods/18 modules: kidneys, modalities, team, access, nutrition, adequacy, rights, etc. English/Spanish PDFsFree MEI content; excellent for Modules 2–4, 7–9; written for patients but strong for techsFree; licensing note if printing multiples
Kidney School professional resourceshttps://kidneyschool.org/resources/Module PDFs + CfC education mappingReady patient-education tools clinics useFree
ESRD Network educational tools (e.g. IPRO)https://esrd.ipro.org/about-our-networks/about-us/publications-resources/educational-materials/Free patient/provider toolkits (access, infection, modality)CMS-funded Network materialsFree
Forum of ESRD Networks patient toolkitshttps://esrdnetworks.org/toolkits/patient-toolkits/Transplant, grievance, depression, etc.Patient-engagement / Module 4Free
ESRD Network of Texas CE / PCT cert linkshttps://www.esrdnetwork.org/professionals/continuing-educationLinks to CMS PCT memos, state grids, Kidney School, FEMA EMIPortal to other free CEFree
ASPR TRACIE — ESRD shelter triage webinarhttps://asprtracie.hhs.gov/technical-resources/resource/6615/emncy-shelters-medical-triage-considerations-for-esrd-end-stage-renal-disease-patientsDisaster planning for dialysis patientsModule 12Free
ASN Emergency Preparedness & Responsehttps://epc.asn-online.org/projects/epr/Provider/patient disaster preparedness module & libraryModule 12Free resources (some may need site registration)
KCER / Kidney Community Emergency ResponseSearch kcercoalition.com (referenced by AKF/CMS partners)Facility hurricane playbooks, Ready Quiz, staff/patient emergency toolsModule 12 / CMS emergency ruleFree
FEMA Emergency Management Institute (independent study)https://training.fema.gov/emi.aspxGeneral emergency management coursesBackground for drills (not dialysis-specific)Free FEMA SID account for certificates

9) Explicitly skipped

  • Pirated MEI Core Curriculum PDFs or commercial textbook dumps
  • Sketchy “free PDF” mirror / exam-dump sites
  • Copyrighted book text reproduction

10) Third-party free practice quizzes — unofficial (flag quality)

TitleURLNote
Mometrix free CCHT practice testhttps://www.mometrix.com/academy/ccht-practice-test/Commercial prep vendor; free sample questions. Unofficial — use only after official NNCC/BONENT outlines
Quizlet CCHT / dialysis tech flashcard setse.g. https://quizlet.com/266727711/ccht-practice-exam-flash-cards/User-generated; accuracy varies. Unofficial — verify every answer against CDC/CMS/MEI/NIDDK
Official paid practice (for comparison)NNCC ~$30; BONENT ~$60–65Higher quality than free third-party quizzes

Suggested study map (free resources → MEI modules)

MEI modulePrimary free resources
1 Environment / professionalismCMS Interpretive Guidance (patient rights, QAPI, personnel); Kidney School Module 3 & 14
2 Kidneys & kidney failureNIDDK Kidney Failure; Kidney School Modules 1–2, 6–7
3 Treatment optionsNIDDK choosing treatment + comparison chart; Kidney School Module 2
4 Person with ESKDKidney School Modules 4–5, 12–13; NKF patient materials
5 Principles of dialysisNIDDK Hemodialysis; Kidney School Module 10 (adequacy)
6 Devices & equipmentBONENT/NNCC Technical outlines; CMS machine/equipment survey worksheets
7 Vascular accessCDC Core Interventions + access observation tools; NKF VA booklet; Kidney School Module 8; MEI endoAVF free PDF
8 Peritoneal dialysisNIDDK PD pages; Kidney School Module 2
9 HD proceduresNNCC Clinical activities list; BONENT Patient Care outline; CMS observation checklists
10 Infection & complicationsCDC WB4720 training + Core Interventions + tools; CMS infection V-tags
11 Water treatmentCMS §494.40 + Interpretive Guidance water tables + water laminate; BONENT Water domain
12 Emergency planningCMS emergency V-tags; KCER/ASN/ASPR TRACIE; FEMA EMI

Quick start (highest ROI, all free)

  1. Download NNCC CCHT Prep Guide + BONENT CHT Handbook (content outlines).
  2. Complete CDC Infection Prevention in Dialysis Settings (WB4720) on TRAIN.
  3. Read CMS ESRD Interpretive Guidance sections on infection, water, and personnel (or at least the surveyor laminates).
  4. Work through Kidney School modules 1–3, 8–10 and NIDDK hemodialysis pages.
  5. Use MEI free Dialyzer Reprocessing + endoAVF PDFs as add-ons.
  6. Optional practice: Mometrix free quiz / Quizlet — flagged unofficial; confirm answers against the sources above.

Inventory compiled Sep 15, 2026 from official CDC, CMS, BONENT, NNCC, NKF, NIDDK, MEI, and ESRD Network public pages. No copyrighted textbook content included.

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