Cannulation Camp

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Major Technique DifferencesWith Buttonhole• Must use the same exact track and angleof entry as the original cannulator of thetrack/tunnel• Scab removal is required before preppingthe skin• Strict aseptic technique and infection-prevention measures are crucial to thesuccess of the buttonhole method
Establishing Buttonhole Sites• One person should do all of the buttonholecannulations with a sharp needle until thescar tissue tunnel track is well formed• Using aseptic technique, cannulate thesame exact spot each time, using thesame angle and depth of penetration• Establish 1 site for arterial and 1 site forvenous access
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Cannulation CampLeighann Sauls RN C
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Do you know this person?
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A Mature Fistula• Vessel diameter
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During AVF Maturation Process• Lo
Page 10 and 11:
TourniquetPhoto courtesy of J. Holl
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Post-Op Follow-up• Communicate as
Page 14 and 15:
Rule of 6’s 6s• Rule of 6’s:
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Is This New AVF Matureand Ready for
Page 18 and 19:
Fistula Maturation• What diagnost
Page 20 and 21:
Maturing FistulaPhysical Exam• Fi
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Best Tool/Technique?Physical Exam!
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Look for ComplicationsChanges in Ac
Page 26 and 27:
Observe Access Extremityfor Stenosi
Page 28 and 29:
Infection• Lower rate with AVF co
Page 30 and 31: “Claw Hand” ContractureFrom Ste
Page 32 and 33: Aneurysm• Localized ballooningPho
Page 34 and 35: PalpationTemperature Change Warmth
Page 36 and 37: AuscultationListen for the Nature o
Page 38 and 39: Requirements for Cannulation• Phy
Page 40 and 41: Best Tool/Technique?Physical Exam!
Page 42 and 43: THE RULES
Page 44 and 45: Cannulation of a New AVF• A “Ne
Page 46 and 47: Recommended Use of aCannulator Rati
Page 48 and 49: Getting Started• Reduce the patie
Page 50 and 51: Getting Started• Use 17-gauge nee
Page 52 and 53: Determine Direction ofAccess FlowCh
Page 54 and 55: Adequacy of Needle Length• Compar
Page 56 and 57: Match Needle Gauge to BloodFlow Rat
Page 58 and 59: Needle Direction• Always cannulat
Page 60 and 61: “Wet” Needle
Page 62 and 63: Clinical Clarification• Whether a
Page 64 and 65: Catheter Removal• Once the patien
Page 66 and 67: CannulationTechniques
Page 68 and 69: Tourniquet Use• The proper use of
Page 70 and 71: Venoussite-rotationcannulationsites
Page 72 and 73: Cannulation Technique• Fistula ne
Page 74 and 75: Cannulation Techniques• Site-Rota
Page 76 and 77: Buttonhole Technique• Procedure:
Page 78 and 79: Disadvantages• Requires same cann
Page 82 and 83: Establishing Buttonhole Sites• On
Page 84 and 85: Needles—Sharp and BluntReprinted
Page 86 and 87: Cannulating Established Sites• Us
Page 88 and 89: Do’s & Don’tsof Scab Removal•
Page 90 and 91: Cannulating Established Sites• Lo
Page 92 and 93: Use of a Buttonhole• If it is imp
Page 94 and 95: Troubleshooting theButtonhole• Bl
Page 96 and 97: Troubleshooting theButtonholeDiffic
Page 98 and 99: Why Offer Self-Cannulation?• Bene
Page 100 and 101: What Are ProfessionalsSaying?• ME
Page 102 and 103: Self Cannulation• The sooner self
Page 104: Questions?• Southeastern KidneyCo
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Cannulation Camp

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