Outcomes from our model for a nurse-led vascular renal access surveillance clinic

McGill, Alison; Pinto, Nigel; Zweedyck, Mandy; Jenkins, Jason

doi:10.4103/ijves.ijves_22_20

Cited by 1 publication

(1 citation statement)

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“…The team at McGill [32] implemented a nurse-led VA surveillance clinic consisting of scheduled clinical and US monitoring of AVFs and AVGs. In their surveillance regime, not only did the nurse perform the US examinations, but they also triaged the referrals toward the treating vascular surgeon.…”

Section: Discussionmentioning

confidence: 99%

Point-of-Care Arterio-Venous Fistula Ultrasound in the Outpatient Hemodialysis Unit—A Survey on the Nurses’ Perspective

Grosu,

Stirbu,

Schiller

et al. 2024

Nursing Reports

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The preservation of complication-free arterio-venous fistulas (AVF) for long-term hemodialysis (HD) use is associated with better overall patient outcomes, which is why this is a current goal in any HD center. Point-of-care ultrasound (POCUS) for in-center AVF assessment has proven its benefits in the identification of vascular access (VA) complications and as an additional tool to avoid blind cannulation. The current study aims to assess the change in the HD nurses’ perceptions regarding AVF POCUS use in the HD center. The nursing staff anonymously answered a Likert scale questionnaire with five questions related to various aspects of AVF POCUS utility shortly after the technique had been implemented and at a 5-year follow-up. The results showed an overall positive attitude toward this method, both at implementation and at follow-up, with no statistically significant score changes for four out of the five items assessed. However, we found a statistically significant reduction in the nurses’ cannulation confidence scores at the 5-year follow-up (p < 0.01). Overall, AVF POCUS implementation is regarded as a useful tool, with major benefits both for the patient and for the medical team. The current study results aim to support the introduction of AVF POCUS assessment as a standard practice from the nursing staff’s viewpoint. This study was not registered.

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Section: Discussionmentioning

confidence: 99%