Master Cannulator Program - The Renal Network

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Why Begin a Cannulation Team? We Can Make an Impact Preserve the established accesses of our patients Preserve the new accesses of our patients Anticipate access problems, and correct them, before the access fails TO PREVENT ACCESS FAILURE
How to Begin Recognize there is a problem 1. Are there many infiltrations and misses? 2. Have you had to set a limit on cannulation attempts? 3. Are certain staff always requested to cannulate? 4. Do you hear “no-one can stick it?” yet one or two staff always can. 5. Send patients for fistulagram and the results are “no occlusion or narrowing”
Page 1 and 2: Cannulation Team DSI Marion County
Page 3 and 4: FF-Our Story 11 Change Concepts Jul
Page 5 and 6: Data Current patients in that mont
Page 7 and 8: Data May 2009-39.3% of 61 current
Page 9 and 10: Oct. 2007, Letter sent to surgeons
Page 11 and 12: Fall 2008 It was decided, in CQI,
Page 13 and 14: “NIMAT” at Indiana Kidney Insti
Page 15 and 16: July 2007 Patient Education (again
Page 17: Are we getting anywhere? FRUSTRATIO
Page 21 and 22: Set a Goal Minimize the amount of
Page 23 and 24: Result: Still 1. Many infiltrations
Page 25 and 26: Process/Compare Results DATA-compa
Page 27 and 28: Cannulation Skill Tool
Page 29 and 30: Plan #2 Appoint one person to eval
Page 31 and 32: Consequently The idea for the Cann
Page 33 and 34: Corrective Action Still some resis
Page 35 and 36: Access Initiation Tool DSI Guideli
Page 37 and 38: DATA #4 new accesses (AVFs) since 1
Page 39 and 40: Re-evaluation of Team On-going pro
Page 41: Have We Improved? Mar 08-Mar 09 AVF

Master Cannulator Program - The Renal Network

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