Complications of the Buttonhole Technique

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In Closing…Consistency RulesAll staff need to do the same things:Use tourniquet in the axilla area every timeUse a two-point, rather than a three-pointtechnique for pulling skin tautUse the originator’s angle of entryLet the needle guide the needle down thetrack
Questions?For more information:Lynda K. Ball, MSN, RN, CNNQuality Improvement Director206.923.0714 x 111lball@nw16.esrd.net206.923.0716 (fax)www.nwrenalnetwork.org/QI/QI.htmFor more resources, including the national AVFcannulation video: www.fistulafirst.org; cannulation isChange Concept #8
Page 11: Taut (tight) Skin Anchors the Veina
Page 14 and 15: Why You Meet Resistance Manipulatin
Page 16 and 17: Best Demonstrated PracticeTouch Can
Page 18: Best Demonstrated PracticeCushion C
Page 24 and 25: Cannulation - Site PreparationClean
Page 26 and 27: Do’s and Don’ts of Scab Removal
Page 28 and 29: Best Demonstrated Practice2-Step Sk
Page 30 and 31: Infection: A Bigger Problem…Tunne
Page 32 and 33: ProtectingEstablishedButtonhole Sit
Page 34 and 35: Buttonhole Technique IssuesNeed to

Complications of the Buttonhole Technique

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