Cannulation Camp

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Troubleshooting theButtonhole• Bleeding can occur around the needlesduring dialysis if:– You are using sharp needles and have cutthe track– The track has stretched because of trying todirect the needle instead of following the track– You have made a new track and torn tissue
Troubleshooting theButtonhole• If, after the weekend, you have troublewith blunt needles, switch to sharpneedles for that t day, being careful not tocut the track• If a site is not progressing, it is acceptableto abandon that site and find another site
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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
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TourniquetPhoto courtesy of J. Holl
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Post-Op Follow-up• Communicate as
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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
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Maturing FistulaPhysical Exam• Fi
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Best Tool/Technique?Physical Exam!
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Look for ComplicationsChanges in Ac
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Observe Access Extremityfor Stenosi
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Infection• Lower rate with AVF co
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“Claw Hand” ContractureFrom Ste
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Aneurysm• Localized ballooningPho
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PalpationTemperature Change Warmth
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AuscultationListen for the Nature o
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Requirements for Cannulation• Phy
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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 80 and 81: Major Technique DifferencesWith But
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 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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