Cannulation Camp

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Why Offer Self-<strong>Cannulation</strong>?• Benefits for patients:– Less painful– Less likely to promote fear and anxiety– Less stressful– Greater feeling of control– Inspires confidence– Access may last longer– Alternative hemodialysis options
What Are Patients Saying?• “You never know the qualifications of theperson inserting the needles, and youknow your own. ”• “You may want to consider learning how toinsert your own needles. A bunch of ushave, and you can’t imagine the sense ofindependence and relief that accompaniesthis self-care task.”Quotes from the Kidney School. Available at: www.kidney school.org. Accessed May 1, 2006.
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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
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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!
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THE RULES
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Cannulation of a New AVF• A “Ne
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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 94 and 95: Troubleshooting theButtonhole• Bl
Page 96 and 97: Troubleshooting theButtonholeDiffic
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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