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Our Progress and Latest News |
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Our AVF Goals.
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Quarterly Trends in AVF Rates and
Monthly Snapshot of Prevalent AVF Rates, NWRN and US.
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Changes in Hemodialysis Access Types, NWRN, 2003-2007;
Hemodialysis Access Types by State, NWRN, 2007;
AVF-in-Use Rates for Prevalent Patients, 2002-2007;
AVF-in-Place Rates for Prevalent Patients, 2003-2007;
Catheter Rates for Prevalent Patients, 2003-2007;
Graft Rates for Prevalent Patients, 2003-2007;
AVF-in-Place Rates for Incident Patients, 2005-2007.
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Comparison of AVF rates for the US and all Networks, for
prevalent hemodialysis patients in December 2002
and December 2007, and incident hemodialysis patients
in January-December 2007.
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Overview of Our AVF and Other Access Outcomes, December 2007.
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AVF rates for prevalent
hemodialysis patients by state, December 2007.
Comparison of individual facilities in Alaska,
Idaho,
Montana,
Oregon,
Eastern Washington, and
Western Washington.
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Percentages of prevalent
hemodialysis patients using a catheter for more than 90 days with no other access placed, by state, December 2007.
Comparison of this rate at individual facilities in Alaska,
Idaho,
Montana,
Oregon,
Eastern Washington, and
Western Washington.
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AVF rates for
incident hemodialysis patients by state, 2007.
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AVF rates and early-referral
rates for incident patients from Medical Evidence Report Forms 2728, 2005-2006.
Nephrologist Feedback on 2728 Report.
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Resources for Patients |
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What's Your Access-Ability?
in English and ¿Que Es Su Acceso-Abilidad? in Spanish,
an article describing Fistulas, Grafts, and Catheters and how to care for them, in everyday language.
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A chart on Vascular Access for Hemodialysis
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A poster on Keeping Your Access Visible at All Times
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A poster on Protect Your Access - It's Your Lifeline
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A table of Patient
Education Resources produced by the Northwest Renal Network, and an index of
Fistula Resources for Patients produced by
the Fistula First Breakthrough Initiative Patient Education Task Force
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Living Well on
Dialysis: A patient's story of 30 years on dialysis, including self cannulation using the buttonhole technique
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Using the Buttonhole Technique for Your AV Fistula
brochure in English and Usando el Método de "Buttonhole" Para Su Fistula in Spanish.
And now also in Russian.
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Sample Self-Cannulation Procedure
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A Sticky Situation: Patient's Rights and Options Regarding Cannulation
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A Patient Guide to Machine Alarms
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The Importance of Washing Your Access
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The RenalWEB topic page
on Fistula First, including links to NVAII resources from other Networks
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The Website for the National Program
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The Introduction to the Project and the
CMS Fistula First Press Release
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Resources for Professional Staff |
| | University of Oklahoma College of Medicine Fistula First
Video Website where physicians can receive 10.5 AMA PRA Category 1 CME credits.
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The Fistula First Website for clinicians provides sections for surgeons, for
nephrologists, and for dialysis facility staff, describing specific steps you can take to increase fistula utilization,
including a video training program that can provide physician CME credits. There are more details in its
Inaugural Announcement
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| | University of Oklahoma College of Medicine Fistula First
Video Website where physicians can receive 10.5 AMA PRA Category 1 CME credits.
Description of the video and
faxback form for ordering a copy.
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The Introduction to the Project and the
CMS Fistula First Press Release
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The Website for the National IHI Program
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| | A table of
Patient Education Resources
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A chart on Vascular Access for Hemodialysis
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A poster on Keeping Patient Accesses Visible at All Times
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| | A poster on
Protect Your Access - It's Your Lifeline
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The RenalWEB Topic Page on Fistula First, including links to NVAII resources from other Networks
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Cannulating in
haemodialysis: rope-ladder or buttonhole technique? by Annemarie Verhallen, Menno Kooistra, and Brigit van Jaarsveld
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| | Lynda Ball's CE article on
The Buttonhole Technique for AVF Cannulation
from Nephrology Nursing Journal, May-June 2006.
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On Course with Cannulation Tools and Resources
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| | Lynda Ball's CE article on
Improving AVF Cannulation Skills
from Nephrology Nursing Journal, November-December 2005
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A Sticky Situation: Patient's Rights and Options Regarding Cannulation
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| | Lynda Ball's article on
Catheter Reduction: More Ways to Make it Happen
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An In-Service
Training Module on Fistulas from the Mid-Atlantic Renal Coalition
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Tools from the national NVAII program
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Eleven Fistula First "Change Concepts" for increasing
AV fistula use and improving chronic home and in-center hemodialysis patient outcomes. For a locally-modifiable version, right-click on
MSWord version, then choose "Save Target As."
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NVAII Charter (37-page pdf)
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Vascular Access Tracking and Reporting Tools
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How Is Your Facility Monitoring Stenosis?
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"Cannulation Camp: Basic Needle Cannulation Training for
Dialysis Staff" by Deborah J. Brouwer, RN, CNN, reprinted with permission from Dialysis & Transplantation v.24 #11 1995
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Useful materials from our 2002 Quality Improvement Project Back to the Basics: Increasing the Use of
Arterial Venous Fistulas in Hemodialysis Patients. You'll find the
final report and a list of
useful materials for increasing fistula use. This project
contributed to a 25% increase in the AV fistula rate for target facilities in one year, a
54% increase in two years, a
73% increase in three years, an
80% increase in four years, and an
86% increase in five years. While we do not
have data for long-term catheter (catheters in use for more than 90 days with no other access in place) use for
2001-2003, their use did not vary significantly between groups or between years
during 2004-2006. Overall catheter use did increase
between 2001 and 2005, but the increase was far lower
at target facilities than at others.
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AV
Fistula Rates: Changing the Culture of Vascular Access, an article by R.L.McGill et al about a similar program
at a hospital in Pittsburgh that has increased AVF use from 32% of patients to 72%, with an additional 12% of patients having an AVF maturing.
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