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The Buttonhole Technique for Arteriovenous Fistula Cannulation
 (Vol 33/No. 3. On-line test expires: 06/30/2008)
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 Quality Improvement Coordinator, Northwest Renal Network, Seattle, WA; an instructor at Clover Park Technical College Hemodialysis Technician Program, Tacoma, WA; and a national speaker on cannulation. She is a member of ANNA’s Greater Puget Sound Chapter.
  OUTLINE

The buttonhole technique began 30 years ago in Europe and Japan, and 25 years ago in Seattle, Washington. Some believe its failure to “catch on” in the United States is due to the graft culture of the last 20 years. Now with an increase of AV fistulae, this technique is becoming known as a viable cannulation option. The purpose of this article is to provide technical information for nephrology nurses performing this technique.
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Take on-line Quiz:
  CE RELATED INFORMATION
This offering for 1.4 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:
To provide an evidence-based educational tool for nephrology nurses to enable them to perform and troubleshoot the buttonhole cannulation technique for accessing an arteriovenous fistula.

 Objectives:
1.Identify at least one barrier that may preclude a patient from utilizing the buttonhole technique.
2.List two patient benefits for the buttonhole technique.
3.Explain the changes that indicate readiness to switch from sharp needles to blunt needles.
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.