Mrs Johanna Brown1
1Queensland Health, , Australia
Biography:
Bio to come.
Abstract:
Background
Metro North Kidney Health Service (KHS) supports over 400 patients with chronic and end-stage kidney disease across 10 facilities within a 400 km² area. By the end of the 2024/2025 financial year, 390 patients were receiving Renal Replacement Therapy (RRT). A chart audit revealed that 291 of these patients had atypical vascular access, defined as one or more complications or abnormalities noted on their most recent duplex ultrasound.
Aim
To address the high prevalence of vascular access issues, we initiated a quality improvement project aimed at improving access longevity and enhancing staff capability in managing complications and abnormalities.
Methods
We developed educational resources and introduced Visually Enhanced Mental Simulation (VEMS) micro-workshops across KHS. These interactive sessions promote decision-making and advanced understanding of vascular access.
Results
Three VEMS micro-workshops were integrated into routine education delivered by clinical facilitators. Sessions can be conducted one-on-one or in small groups:
Pin the Problem on the Fistula: Builds confidence in interpreting duplex reports and fistula worksheets.
The Great Ultrasound Showdown: Improves bedside ultrasound interpretation skills.
Flow Wars: Cause or Effect?: Encourages critical thinking in identifying causes of common complications.
Conclusion
VEMS micro-workshops provide an engaging, practical approach to vascular access education, enhancing staff confidence, knowledge, and critical thinking in haemodialysis care.