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- Title
Matchmaking for Dialysis Access.
- Authors
Salmon, Anita J.; Luscombe, Rick
- Abstract
It has been recognized in the hemodialysis (HD) community that (1) fistulas and grafts vary in the ease with which they can be cannulated; and (2) that there is a range of cannulation skills among HD nurses. Despite recommendations in the literature and in many national guidelines to match the degree of difficulty of an access to cannulate with the skill level of the cannulator, few (if any) programs exist to ensure this match. In British Columbia, Canada, in 2006, the Provincial Vascular Access Services Team (PVAST) developed a provincial guideline for cannulation of arteriovenous (AV) fistulas and grafts. One of the recommendations in the guideline is to formally match the degree of difficulty of an access to cannulate with the skill level of the cannulator. Objective assessment criteria for both cannulator and access have been delineated. The Provincial Vascular Access Educators Group (PVAEG) has been charged with the responsibility to implement this recommendation. The presentation will present the objective assessment criteria for accesses and for cannulators and will describe the progress made in implementation. This innovative approach holds promise for improving cannulation outcomes for the dialysis population.
- Subjects
DIALYSIS (Chemistry)
- Publication
Nephrology Nursing Journal, 2008, Vol 35, Issue 2, p178
- ISSN
1526-744X
- Publication type
Abstract