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A video training program for surgeons and interventionalists Developed by William Jennings, MD and Lawrence Spergel, MD and hosted by the University of Oklahoma Health Science Center. |
The following are some specific things nephrologists can do to begin to increase AV fistula use in dialysis patients. These are actions that you can take immediately; they will require cooperation between and, perhaps, changes in practice of, all providers in the system.
- Know the rates of AV fistula prevalence and incidence for your patients.
- Review the recommended strategies from the Fistula First Change Package and choose those that make the most sense for your practice. For example, consider the following changes:
- Change Concept 2 – Timely Referral to Nephrologist
- Change Concept 3 – Early Referral to surgeon for “AVF Only" Evaluation and Timely Placement
- Change Concept 4 – Surgeon Selection Based on Best Outcomes, Willingness, and Ability to Provide Access Services
- Change Concept 6 – Secondary AVF Placement in Patients with AV Grafts
- Change Concept 7 – AVF Placement in Patients with Catheters Where Indicated
- Change Concept 9 – Monitoring and Maintenance to Ensure Adequate Access Function
- Change Concept 10 – Education for Caregivers and Patients
- Change Concept 11 – Outcomes Feedback to Guide Practice