The 3 Ps for Vascular Access Success
This handbook was designed to guide your hemodialysis vascular access improvement efforts and change existing practices through Quality Assessment and Performance Improvement (QAPI) projects. This handbook brings together a number of best-practice concepts and suggested tools in support of those concepts.
Download and view the September 27th WebEx presentation recording using Windows Media Player [Format: Windows Media File, 78.6 MB, Duration50:45min.]
Download the September 27th WebEx presentation slides [PDF, 3.6M]
Handbook Tools
- T01. Sample Letter to PCPs/Insurance Companies from Nephrologist [Format: Word, size: 46 kb]
- T02. Vascular Access Plann Checklist for Nephrologists
[Format: PDF, size: 7 kb] - T03. Hemodialysis Access Referral New Access
[Format: Word, size: 757 kb] - T04. Hemodialysis Access Referral Existing Access [Format: Word, size: 778 kb]
- T05. Venous/Arterial Templates and Sample Reports [Format: PDF, size: 50 kb]
- T06. Patient and Family Education Flyer [Format: PDF, size: 373 kb]
- T07a. Vascular Access Poster [Format: PDF, size: 38 kb];
T07b. Vascular Access Cards [Format: PDF, size: 33 kb] - T08. Catheter Evaluation Tool [Format: Word, size: 72 kb]
- T09. Catheter Reduction Tool for Facilities [Format: PDF, size: 25 kb]
- T10. Project Cath-Out [Format: PDF, size: 78 kb]
- T11. 90-Day Count Down! Planning for Catheter Removal
[Format: PDF, size: 64 kb] - T12. Catheter Assessment Algorithm [Format: PDF, size: 12 kb]
- T13. CVC Management Flowchart [Format: PDF, size: 50 kb]
- T14. CVC Tracking Tool [Format: Excel, size: 131 kb]
- T15. Referral Letter to Surgeon [Format: PDF, size: 24 kb]
- T16. Surgeon Questionnaire [Format: PDF, size: 86 kb]
- T17. Fistula Maturation Protocol [Format: PDF, size: 108 kb]
- T18. Creating AV Fistulae in All Eligible Hemodialysis Patients
[Format: Word, size: 67 kb] - T19. Evaluate Every AV Graft Patient for Possible Secondary AVF
[Format: PDF, size: 40 kb] - T20. Reducing Central Venous Catheter Infections Diagram
[Format: PDF, size: 21 kb] - T21. Permanent Vascular Access Algorithm [Format: Word, size: 32 kb]
- T22. Dynamic Venous Pressure (DVP) Monitoring and Follow-Up
[Format: Word, size: 26 kb] - T23. Infection Tracking Log [Format: Word, size: 40 kb]
- T24. Cannulation of the AV Fistula Training Videos [Format: Word, size: 59 kb]
- T25. New Fistula Cannulation Policy and Procedure [Format: Word, size: 56 kb]
- T26. Clamp Usage Policy and Procedure [Format: Word, size: 287 kb]
- T27. Self-Cannulation of Vascular Access Procedure
[Format: PDF, size: 152 kb] - T28. Training Checklist for Self-Cannulation [Format: Word, size: 37 kb]
- T29. Rating and Improving Staff Cannulation Competency
[Format: Word, size: 63 kb] - T30. AVF Quick Reference Guide [Format: PDF, size: 97 kb]
- T31. Fistula First Training Module [Format: PDF, size: 748 kb]
- T32. Buttonhole Cannulation Skills Checklist [Format: PDF, size: 51 kb]
- T33a. Vascular Access Grading Worksheet [Format: PDF, size: 32 kb];
T33b. Vascular Access Grading Patient Sheet [Format: PDF, size: 7 kb] - T34. Protect Your Lifeline Patient Brochure [Format: PDF, size: 141 kb]
- T35. Protect Your Lifeline Word Challenge [Format: PDF, size: 124 kb]
- T36. STOP! Vascular Access Poster [Format: PDF, size: 40 kb]
- T37. Change Concept 1 [Format: Word, size: 36 kb]
- T38. Change Concept 2 [Format: Word, size: 37 kb]
- T39. Change Concept 3 [Format: Word, size: 37 kb]
- T40. Change Concept 4 [Format: Word, size: 37 kb]
- T41. Change Concept 5 [Format: Word, size: 37 kb]
- T42. Change Concept 6 [Format: Word, size: 37 kb]
- T43. Change Concept 7 [Format: Word, size: 37 kb]
- T44. Change Concept 8 [Format: Word, size: 37 kb]
- T45. Change Concept 9 [Format: Word, size: 37 kb]
- T46. Change Concept 10 [Format: Word, size: 37 kb]
- T47. Change Concept 11 [Format: Word, size: 37 kb]
- T48. Change Concepts: Vascular Access Needs Assessment
[Format: PDF, size: 17 kb] - T49 a.Data Collection Tool Narrative [Format: Word, size: 607 kb]
T49 b.Data Collection Tool [Format: Excel, size: 134 kb] - T50. PDSA Worksheet [Format: PDF, size: 662 kb]
Web-Only Tools
- W01. Early Referral to Nephrologist and Keeping PCPs Involved
[Format: PDF, size: 471 kb] - W02. Online Calculators [Format: PDF, size: 35 kb]
- W03. Midwest CKD Coalition Position Paper on GFR Reporting
[Format: PDF, size: 80 kb] - W04. Hospital Care Plan [Format: PDF, size: 59 kb]
- W05. What Hospital Professionals Can Do [Format: PDF, size: 60 kb]
- W06. Hospital Discharge Planning Assessment of Interventions
[Format: PDF, size: 75 kb] - W07. Hospital Discharge Planning Checklist CKD Stage 5
[Format: PDF, size: 52 kb] - W08. Consensus Document Pre Op Mapping Protocol
[Format: PDF, size: 78 kb] - W09. Duplex of Upper Extremity Vessels [Format: PDF, size: 43 kb]
- W10. SLEEVES UP Protocol to Convert Forearm AV Graft to Upper Arm AV Fistula [Format: PDF, size: 263 kb]
- W11. KDOQI Stenosis Surveillance Methods [Format: PDF, size: 145 kb]
- W12. Vascular Access and the Conditions for Coverage
[Format: PDF, size: 4.3 mb]
-- Part of the Five-Diamond Patient Safety Program - W13. Stenosis Surveillance [Format: PDF, size: 246 kb]
-- Part of the Five-Diamond Patient Safety Program - W14. Stenosis Surveillance Staff Test [Format: PDF, size: 27 kb]
-- Part of the Five-Diamond Patient Safety Program - W15. Tandem Hand Cannulation Technique [Format: PDF, size: 3.8 mb]
- W16. Improving AVF Cannulation Skills [Format: PDF, size: 843 kb]
- W17. Cushion Cannulation Technique [Format: PDF, size: 1.2 mb]
- W18. Cannulation of Upper Arm Fistula [Format: PDF, size: 1.1 mb]
- W19. Touch Cannulation Technique [Format: PDF, size: 1.8 mb]
- W20. Salvage of Aneurysmal Fistulae [Format: PDF, size: 270 kb]
- W21. Buttonhole Technique Fact Sheet and References
[Format: PDF, size: 46 kb] - W22. Buttonhole Technique [Format: PDF, size: 423 kb]
- W23. Buttonhole ID Card [Format: PDF, size: 192 kb]
- W24. Constant Site Needle Insertion [Format: PDF, size: 36 kb]
- W25. Multicenter Perspective [Format: PDF, size: 193 kb]
- W26. What Nephrologists Need to Know About AVF Creation
[Format: PDF, size: 45 kb] - W27. Vein Preservation and Hemodialysis Fistula Protection
[Format: PDF, size: 33 kb] - W28. Saving Vasculature [Format: PDF, size: 33 kb]
- W29. Vascular Access Management Instituting Hospital System Change [Format: PDF, size: 1.3 mb]
- W30. Recommendations for the Minimal Use of PICC Lines
[Format: PDF, size: 61 kb] - W31. Reduce Use of PICC Lines in CKD Patients
[Format: PDF, size: 106 kb] - W32. Early Referral to Vascular Surgeon [Format: PDF, size: 58 kb]
- W33. Fistula First Fast Track What To Do When The Fistula Was Not First [Format: PDF, size: 621 kb]
- W34. QAPI VA Barriers Questionnaire [Format: Excel, size: 49 kb]