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Adult Home Hemodialysis Standing Orders 1. 2. Target Weight All new patients will have an initial assessment. Access: a. Cannulation of AV Fistulas In order to initiate cannulation of a new AV Fistula,
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01
Wash your hands thoroughly.
02
Gather necessary supplies: buttonhole needles, disinfectant solution, gauze pads, etc.
03
Clean the area around the arteriovenous fistula with disinfectant solution.
04
Insert the buttonhole needle into the same two points on the fistula each time, creating a tunnel through which to cannulate.
05
Secure the needle in place and connect it to the dialysis machine for treatment.

Who needs buttonhole cannulation of arteriovenous?

01
Patients who require frequent hemodialysis treatments may benefit from buttonhole cannulation of their arteriovenous fistula.
02
It is often used in patients with arteriovenous fistulas that have matured enough for the creation of a tunnel for cannulation.
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Buttonhole cannulation is a technique used to access arteriovenous fistula or graft for hemodialysis by creating a repeated puncture site in the same location.
Nurses, dialysis technicians, or healthcare providers who perform hemodialysis procedures are required to document and monitor buttonhole cannulation of arteriovenous.
The documentation for buttonhole cannulation should include the date of procedure, site of puncture, needle size used, any complications or observations, and patient's response to the cannulation technique.
The purpose of buttonhole cannulation is to create a consistent puncture site that can reduce complications such as infections, aneurysm formation, and improve the longevity of the access for hemodialysis.
Information such as date of procedure, site of puncture, needle size used, any complications, observations, and patient's response should be reported on buttonhole cannulation documentation.
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