ANNA Home Page
ANNA CE Link
HDCN Home Page
HDCN Registration Link

If you dont have an Acrobat Reader installed on your computer, you may download it for free from the link below:


Improving AV Fistula Cannulation Skills
 (Vol 32/No. 6. On-line test expires: 12/20/2007)
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
Lynda K. Ball, BS, BSN, RN, CNN
 Lynda K. Ball, BS, BSN, RN, CNN, is the Quality Improvement Coordinator, Northwest Renal Network, Seattle, WA, and instructor, Clover Park Technical College Hemodialysis Technician Program, Tacoma, WA. She is the ANNA Western Region Vice President, and a member of the Greater Puget Sound Chapter.
  OUTLINE

Cannulation of arteriovenous fistulae is technically more challenging than cannulation of arteriovenous grafts. With the advent of the National Vascular Improvement Initiative, Fistula First, the United States has seen an increase in the number of arteriovenous fistulae. The problem we now face is how to refocus and reeducate nurses to the intricacies of arteriovenous fistula cannulation. Through evidenced-based practice and current best-demonstrated practices, this article will provide the tools needed to improve arteriovenous fistulae cannulation skills.
  GET YOUR CE CERTIFICATE
Take on-line Quiz:
  CE RELATED INFORMATION
This offering for 1.5 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; and the Kansas State Board of Nursing, Provider No. LT0148-0738. This offering is accepted for RN and LPN relicensure in Kansas

  EDUCATIONAL OBJECTIVES

Goal:
Cite evidence-based, best demonstrated practices to utilize in improving individual cannulation technique.

 Objectives:
1. Describe the assessment process of auscultation, palpations, and inspection for an AV fistula.
2. List five clinical indicators that would indicate a stenosis.
3. Explain the differences between the rope ladder and buttonhole techniques.
AUTHOR DISCLOSURE STATEMENT
Lynda K. Ball, 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.