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Managing Catheter Dysfunction for Better Patient Outcomes:
A Team Approach
 (Vol 31/No. 6. On-line test expires: 12/20/2006)
To receive continuing education credit, you must read the information in this article and take an on-line post test and fill out an on-line program evaluation form. The certificate will then be generated for you as a .pdf file which you can print out locally on your computer.

CE Certification by ANNA requires a handling charge that must be paid by credit card. Pricing information is available by clicking on the "Post-Test Evaluation" link below.
  DOWNLOAD TEST ARTICLE
Please download and print the PDF file below:
  AUTHOR
Lesley C. Dinwiddie, MSN, RN, FNP, CNN
 Lesley C. Dinwiddie, MSN, RN, FNP, CNN, is Nephrology Nurse Consultant in Vascular Access Education and Research, and is President of the American Nephrology Nurses’ Association (ANNA).
  OUTLINE

Vascular access is the leading cause of morbidity in the hemodialysis patient population. Arteriovenous fistulas (AVFs) have the lowest complication rate while catheters have the highest. Though significant effort is being made to increase the number of AVFs and lower the number of catheters, annual data show that the number of catheters is increasing. To improve vascular access-related patient outcomes, catheter dysfunction needs to be managed by a vascular access team using the CQI process that begins with a comprehensive algorithm for treatment.
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Take on-line Quiz:
  CE RELATED INFORMATION
This offering for 2.2 contact hours is being provided by the American Nephrology Nurses’ Association (ANNA), which is accredited as a provider and approver of continuing education in nursing by the American Nurses’ Credentialing Center-Commission on Accreditation (ANCCCOA). This educational activity is approved by most states and specialty organizations that recognize the ANCC-COA accreditation process. ANNA is an approved provider of continuing education in nursing by the California Board of Registered Nursing, BRN Provider No. 00910.

  EDUCATIONAL OBJECTIVES

Goal:
To increase awareness of the implications of, and the methods for managing, catheter dysfunction.

 Objectives:
1. Discuss the incidence of catheter dysfunction in relationship to the number of people being hemodialyzed for ESRD.
2. Describe three advantages in using lytic therapy for dysfunction caused by thrombus.
3. Identify four essential team members in each nephron segment.
4. State three elements of the CQI process for managing catheter dysfunction.
AUTHOR DISCLOSURE STATEMENT
Lesley C. Dinwiddie, MSN, RN, FNP, CNN has no conflicts of interest to disclose.



 ANNA and HDCN CE POLICY STATEMENTS

The CE policy and disclosure statements of the American Nephrology Nurses' Association are given in detail on the Symposium Home Page. The CE policy statements of HDCN are listed on this page.