Talk Description
455Q - Research Paper
Abstract
Aim:
This initiative aimed to improve surveillance of AVFs, where early identification of problematic or failing AVF's, ensured intervention was timely, non-disruptive for the patient, and reduced the requirement for central venous access devices (CVAD's).
Method:
The clinical lead became an experienced USGC training provider for the team. The first statewide clinical procedure in USGC was developed and fully endorsed through quality systems. A task trainer model was used to "practice" USGC prior to cannulating patients AVF's. Logbooks of all USGC's enabled self reflection, aimed at improving skill and building confidence. Logs also provided the experience of USGC from the patients perspective. "Needle-Viz", "Bi-plane" and "Teleguidance" in POCUS have all been integrated into the USGC technologies in the unit.
Results:
Staff gained knowledge and confidence in using POCUS and USGC. Demonstrated 100% accuracy in all USGC's.
Increased number of "new" sites being cannulated reducing associated complications. Positive patient and staff feedback of their experiences with USGC.
Conclusion:
POCUS assists to improve surveillance of AVF's at a unit level, and if problems are identified early, it reduces unnecessary cost to healthcare services and inconvenience for the patient. USGC promotes longevity of AVF's with precision of cannulation, reduced number of missed cannulations, and new sites being cannulated. The limitations of this project is generalisability to larger units which may differ. The author declares no conflict of interest in regards to authorship.
Abstract
Aim:
This initiative aimed to improve surveillance of AVFs, where early identification of problematic or failing AVF's, ensured intervention was timely, non-disruptive for the patient, and reduced the requirement for central venous access devices (CVAD's).
Method:
The clinical lead became an experienced USGC training provider for the team. The first statewide clinical procedure in USGC was developed and fully endorsed through quality systems. A task trainer model was used to "practice" USGC prior to cannulating patients AVF's. Logbooks of all USGC's enabled self reflection, aimed at improving skill and building confidence. Logs also provided the experience of USGC from the patients perspective. "Needle-Viz", "Bi-plane" and "Teleguidance" in POCUS have all been integrated into the USGC technologies in the unit.
Results:
Staff gained knowledge and confidence in using POCUS and USGC. Demonstrated 100% accuracy in all USGC's.
Increased number of "new" sites being cannulated reducing associated complications. Positive patient and staff feedback of their experiences with USGC.
Conclusion:
POCUS assists to improve surveillance of AVF's at a unit level, and if problems are identified early, it reduces unnecessary cost to healthcare services and inconvenience for the patient. USGC promotes longevity of AVF's with precision of cannulation, reduced number of missed cannulations, and new sites being cannulated. The limitations of this project is generalisability to larger units which may differ. The author declares no conflict of interest in regards to authorship.