AVF
What does AVF stand for?
Arteriovenous Fistula
What does AVG stand for?
Arteriovenous Graft
How long do we scrub the hub when performing CVC care?
15 seconds
Where do we draw blood from?
Arterial line
According to policy and procedure, how should gowns be worn?
Fully snapped up with wrists covered
What are the 3 steps a teammate should use for daily AVF checks?
Look, LISTEN, FEEL
How soon can you use a graft after it is placed?
2-4 weeks
Why are pts in a supine position when accessing the catheter?
Reduce incidence of Air Embolus
When drawing a post lab(green tube), what is the proper procedure to ensure accurate results?
Put machine in bypass, lower BFR to 100, wait 15 seconds.
What needle gauge equals what BFR
17g = 200-250
16g = 250-300
15g = 350-450
14g = 450+
At what angle do you cannulate an AVF?
25 degree angle
At what angle do you cannulate an AVG?
45 degree angle
When a pt starts using their AVF/AVG instead of the CVC, the PCT no longer has to do CVC care.
TRUE or FALSE
FALSE!!! CVC care should be done EVERY tx until removed.
Where do you obtain post lab draws from?
Arterial blood line sample port
What is the max UFR?
13ml/kg/hr
What percentage of the BFR is considered an acceptable reading for AP & VP?
What are the 2 main risks/complications of an AVG compared to an AVF?
Thrombosis and Infection
How many days per year does a pt with a CVC spend in the hospital compared to pts with permanent accesses?
27 more days in the hospital each year
Why is it important that we draw lab tubes in the correct order?
Some tubes have additives that can alter the results of another test if drawn incorrectly
Chocolate, dark soda, and milk products are all high in what?
Phosphorus
When assessing the AVF: a whistle is an indication of an _______ stenosis, a hammer pound is indication of an _______ stenosis.
Outflow, Inflow
For a loop graft, how do you figure out which side is your arterial and which is your venous?
Pressure in the middle of graft, listen with stethoscope. Your louder side is your arterial.
**BONUS** explain why!
What is the difference between a tunneled CVC and a non-tunneled CVC?
Tunneled CVC = goes through skin first before going to central vein, long term
Non- tunneled = goes directly to central vein, short term/ temporary tx
What does the t and the V stand for in Kt/V lab value and what are we checking for?
Checking for adequacy. t= time, V= volume
You're half way through the day when multiple pts in the same area start to not feel well.
What could be the cause?
What should your next steps be?
Cause:
Water issues
Next steps:
Notify RN, stop blood pump, check the water and notify BioMed.
If the water is the issue, take pts off tx, NO RINSEBACK.