Evaluation of blood flow:
Thrill/bruit look listen feel
Cannulation Rules - Site Site rotation/healing time: 14 days-rope ladder
Prep method rotation of sites needed to promote healing
Needle insertion AVF: 25 degrees
AVG: 45 degrees
Require a physician order
Clamps
Keep on for 5-10 min before checking
Noting presence of edema; Heart rate and rhythm;
Data collection-PCT Respiration rate, rhythm, recognizing unusual breath
sounds; Machine parameters, safety checks
- Term incorporates a wide spectrum of kidney issues
- Includes acute kidney failure as well as less
Define the term AKI catastrophic kidney function changes
- May dialyze in an out-patient facility until kidney
function recovers
, Access has been cannulated w/2 needles for 2
Definition of established
months w/o complications
AVF
beginner cannulator can cannulate
Successfully tolerated max needle size & BFR for
Definition of mature AVF atleast 6 Tx
Intermediate cannulator can cannulate
new fistula has post op surgical exam, meets the rules
Definition of newly mature
of 6's, can be cannulated by NFACT trained
AVF
teammates
• 600 ml flow through access (on Doppler)
Describe the four AVF • 0.6 cm in depth under the skin
evaluations for maturation • 0.6 cm diameter (width of pencil eraser)
based on the KDOQI Rule • 6-8 weeks post op maturation (some AVF will take
of 6's longer- however notifying vascular surgeon is
essential if access in not maturing)
Beginner cannulator
Less then 6 months experience and less than 10
successful cannulations on established vascular
accesses
Describe the teammate's
cannulation level based Proficient cannulator
on Cannulator Greater than 6 months experience and cannulation of
Competency greater than 10 successful cannulations
Classifications.
Expert cannulator
Experienced and skilled teammate. Has completed all
the expert cannulation program training, expert
cannulation skills documented
Explain the acceptable Handwashing with soap and water per policy is the
hand hygiene technique only acceptable hand hygiene
when caring for a patient
with active clostridioides
difficile infection (C diff)
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