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Change Concept #8
Cannulation Training for AV Fistulas

Prevent fistulae from being destroyed by inexperienced staff. Discuss the basics of needle cannulation with all staff.

Changes for Improvement

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Changes for Improvement:

Use Experienced Staff and Teaching Tools to Train All Appropriate Dialysis Staff on AVF Cannulation

Identify the experienced cannulators on your staff; make sure they are available to cannulate all new fistulae and to train inexperienced staff. Identify and make available to your staff appropriate teaching tools.

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Changes for Improvement:

Use Protocols for Initial Dialysis Treatments with New AVF Patients

Dialysis staff should develop and use a specific protocol for initial dialysis treatments with new AV fistula patients and assign the most skilled staff to such patients.

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Changes for Improvement:

Teach Self-Cannulation to Patients Who Are Interested and Able

Facilities should offer the option of self-cannulation to patients who are interested and able.

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Last Revised 6-9-2008