Venous Needle Dislodgement and Access-Bloodline Separation
Joan Speranza-Reid1,2, Deborah Brouwer-Maier3,4, Christina M Cruz5,6
1Nurse Manager Renal Services/Apheresis, University of Vermont Medical Center, Burlington, VT.
Summary
Serious hemodialysis complications like venous needle dislodgement are addressed by updated American Nephrology Nurses Association (ANNA) guidelines. New resources and practice recommendations aim to improve patient safety during hemodialysis therapy.
Area of Science:
- Nephrology Nursing
- Patient Safety in Hemodialysis
Background:
- Venous needle dislodgement (VND) and access-bloodline separation are serious complications during hemodialysis.
- The American Nephrology Nurses Association (ANNA) previously addressed VND in 2012.
Purpose of the Study:
- To update information and resources on VND and access-bloodline dislodgement.
- To develop new resources and practice recommendations for preventing these complications.
Main Methods:
- Conducted a comprehensive literature review.
- Solicited information and experiences from ANNA members.
- Tested various taping techniques for securement.
Main Results:
- The literature review identified current evidence on VND and related issues.
- ANNA member input provided practical insights and challenges.
- Taping technique testing offered data on effectiveness.
Conclusions:
- Updated resources and recommendations are available for managing VND and access-bloodline dislodgement.
- These updates aim to enhance patient safety in hemodialysis settings.
- Continuous evaluation and resource development are crucial for nephrology nursing practice.
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