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quality care

3 Ps of Vascular Access

Prevent Catheter

Place & Use Fistula

Preserve Fistula

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.

3 Ps Handbook Documents

 

Documents included in this download:

  • T01. Sample Letter to PCPs/Insurance Companies from Nephrologist
  • T02. Vascular Access Planning Checklist for Nephrologists
  • T03. Hemodialysis Access Referral New Access
  • T04. Hemodialysis Access Referral Existing Access
  • T05. Venous/Arterial Templates and Sample Reports
  • T06. Patient and Family Education Flyer
  • T07a.Vascular Access Poster
  • T07b. Vascular Access Cards
  • T08. Catheter Evaluation Tool
  • T09. Catheter Reduction Tool for Facilities
  • T10. Project Cath-Out
  • T11. 90-Day Count Down! Planning for Catheter Removal
  • T12. Catheter Assessment Algorithm
  • T13. CVC Management Flowchart
  • T14. CVC Tracking Tool
  • T15. Referral Letter to Surgeon
  • T16. Surgeon Questionnaire
  • T17. Fistula Maturation Protocol
  • T19. Evaluate Every AV Graft Patient for Possible Secondary AVF 
  • T20. Reducing Central Venous Catheter Infections Diagram
  • T21. Permanent Vascular Access Algorithm
  • T22. Dynamic Venous Pressure (DVP) Monitoring and Follow-Up
  • T23. Infection Tracking Log
  • T25. New Fistula Cannulation Policy and Procedure
  • T26. Clamp Usage Policy and Procedure
  • T27. Self-Cannulation of Vascular Access Procedure
  • T28. Training Checklist for Self-Cannulation
  • T29. Rating and Improving Staff Cannulation Competency

 

Documents included in this download:

  • T30. AVF Quick Reference Guide
  • T31.Fistula First Training Module
  • T32.Buttonhole Cannulation Skills Checklist
  • T33a. Vascular Access Grading Worksheet
  • T33b. Vascular Access Grading Patient Sheet
  • T34. Protect Your Lifeline Patient Brochure
  • T35. Protect Your Lifeline Word Challenge
  • T36. STOP! Vascular Access Poster
  • T37. Change Concept 1
  • T38. Change Concept 2
  • T39. Change Concept 3
  • T40. Change Concept 4
  • T41. Change Concept 5
  • T42. Change Concept 6
  • T43. Change Concept 7
  • T44. Change Concept 8
  • T45. Change Concept 9
  • T46. Change Concept 10
  • T47. Change Concept 11
  • T48. Change Concepts: Vascular Access Needs Assessment
  • T49 a.Data Collection Tool Narrative 
  • T49 b.Data Collection Tool
  • T50. PDSA Worksheet
  • W01. Early Referral to Nephrologist and Keeping PCPs Involved
  • W02. Online Calculators
  • W03. Midwest CKD Coalition Position Paper on GFR Reporting
  • W04. Hospital Care Plan
  • W05. What Hospital Professionals Can Do

 

Documents included in this download:

  • W06. Hospital Discharge Planning Assessment of Interventions
  • W07. Hospital Discharge Planning Checklist CKD Stage 5
  • W08. Consensus Document Pre Op Mapping Protocol
  • W09. Duplex of Upper Extremity Vessels
  • W10. SLEEVES UP Protocol to Convert Forearm AV Graft to Upper Arm AV Fistula
  • W11. KDOQI Stenosis Surveillance Methods
  • W12. Vascular Access and the Conditions for Coverage
  • W13. Stenosis Surveillance
  • W14. Stenosis Surveillance Staff Test
  • W15. Tandem Hand Cannulation Technique
  • W16. Improving AVF Cannulation Skills
  • W17. Cushion Cannulation Technique
  • W18. Cannulation of Upper Arm Fistula
  • W19. Touch Cannulation Technique
  • W20. Salvage of Aneurysmal Fistulae
  • W21. Buttonhole Technique Fact Sheet and References
  • W22. Buttonhole Technique
  • W23. Buttonhole ID Card
  • W24. Constant Site Needle Insertion
  • W25. Multicenter Perspective
  • W26. What Nephrologists Need to Know About AVF Creation
  • W27. Vein Preservation and Hemodialysis Fistula Protection
  • W28. Saving Vasculature
  • W29. Vascular Access Management Instituting Hospital System Change
  • W30. Recommendations for the Minimal Use of PICC Lines
  • W31. Reduce Use of PICC Lines in CKD Patients
  • W32. Early Referral to Vascular Surgeon
  • W33. Fistula First Fast Track What To Do When The Fistula Was Not First
  • W34. QAPI VA Barriers Questionnaire
Handbook Tools: Group 1

 

Documents included in this download:

  • T01. Sample Letter to PCPs/Insurance Companies from Nephrologist
  • T02. Vascular Access Planning Checklist for Nephrologists
  • T03. Hemodialysis Access Referral New Access
  • T04. Hemodialysis Access Referral Existing Access
  • T05. Venous/Arterial Templates and Sample Reports
  • T06. Patient and Family Education Flyer
  • T07a.Vascular Access Poster
  • T07b. Vascular Access Cards
  • T08. Catheter Evaluation Tool
  • T09. Catheter Reduction Tool for Facilities
  • T10. Project Cath-Out
  • T11. 90-Day Count Down! Planning for Catheter Removal
  • T12. Catheter Assessment Algorithm
  • T13. CVC Management Flowchart
  • T14. CVC Tracking Tool
  • T15. Referral Letter to Surgeon
  • T16. Surgeon Questionnaire
  • T17. Fistula Maturation Protocol
  • T19. Evaluate Every AV Graft Patient for Possible Secondary AVF 
  • T20. Reducing Central Venous Catheter Infections Diagram
  • T21. Permanent Vascular Access Algorithm
  • T22. Dynamic Venous Pressure (DVP) Monitoring and Follow-Up
  • T23. Infection Tracking Log
  • T25. New Fistula Cannulation Policy and Procedure
  • T26. Clamp Usage Policy and Procedure
  • T27. Self-Cannulation of Vascular Access Procedure
  • T28. Training Checklist for Self-Cannulation
  • T29. Rating and Improving Staff Cannulation Competency
Handbook Tools: Group 2

 

Documents included in this download:

  • T30. AVF Quick Reference Guide
  • T31.Fistula First Training Module
  • T32.Buttonhole Cannulation Skills Checklist
  • T33a. Vascular Access Grading Worksheet
  • T33b. Vascular Access Grading Patient Sheet
  • T34. Protect Your Lifeline Patient Brochure
  • T35. Protect Your Lifeline Word Challenge
  • T36. STOP! Vascular Access Poster
  • T37. Change Concept 1
  • T38. Change Concept 2
  • T39. Change Concept 3
  • T40. Change Concept 4
  • T41. Change Concept 5
  • T42. Change Concept 6
  • T43. Change Concept 7
  • T44. Change Concept 8
  • T45. Change Concept 9
  • T46. Change Concept 10
  • T47. Change Concept 11
  • T48. Change Concepts: Vascular Access Needs Assessment
  • T49 a.Data Collection Tool Narrative 
  • T49 b.Data Collection Tool
  • T50. PDSA Worksheet
  • W01. Early Referral to Nephrologist and Keeping PCPs Involved
  • W02. Online Calculators
  • W03. Midwest CKD Coalition Position Paper on GFR Reporting
  • W04. Hospital Care Plan
  • W05. What Hospital Professionals Can Do
Handbook Tools: Group 3

 

Documents included in this download:

  • W06. Hospital Discharge Planning Assessment of Interventions
  • W07. Hospital Discharge Planning Checklist CKD Stage 5
  • W08. Consensus Document Pre Op Mapping Protocol
  • W09. Duplex of Upper Extremity Vessels
  • W10. SLEEVES UP Protocol to Convert Forearm AV Graft to Upper Arm AV Fistula
  • W11. KDOQI Stenosis Surveillance Methods
  • W12. Vascular Access and the Conditions for Coverage
  • W13. Stenosis Surveillance
  • W14. Stenosis Surveillance Staff Test
  • W15. Tandem Hand Cannulation Technique
  • W16. Improving AVF Cannulation Skills
  • W17. Cushion Cannulation Technique
  • W18. Cannulation of Upper Arm Fistula
  • W19. Touch Cannulation Technique
  • W20. Salvage of Aneurysmal Fistulae
  • W21. Buttonhole Technique Fact Sheet and References
  • W22. Buttonhole Technique
  • W23. Buttonhole ID Card
  • W24. Constant Site Needle Insertion
  • W25. Multicenter Perspective
  • W26. What Nephrologists Need to Know About AVF Creation
  • W27. Vein Preservation and Hemodialysis Fistula Protection
  • W28. Saving Vasculature
  • W29. Vascular Access Management Instituting Hospital System Change
  • W30. Recommendations for the Minimal Use of PICC Lines
  • W31. Reduce Use of PICC Lines in CKD Patients
  • W32. Early Referral to Vascular Surgeon
  • W33. Fistula First Fast Track What To Do When The Fistula Was Not First
  • W34. QAPI VA Barriers Questionnaire