Complications of the Buttonhole Technique

Do’s and Don’ts of Scab Removal Don’t flip the scab offwith the needle you willuse for cannulation –this contaminates theneedle. Don’t use a sterileneedle – you could cutthe patient’s skin. Don’t let patients pick offtheir scabs. Don’t stick throughscabs. Do use either:~aseptic tweezers;~soak two 2 x 2s withNS or alcohol-based gel;~place a warm, moistwashcloth over sites;~stretch skin around scabin opposite directions;~have patient tapealcohol squares oversites prior to dialysis.~scab lifting devices