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Fistula First Tools

NVAII Change Package

• A multi-disciplinary working group, chaired by vascular access surgeon Lawrence Spergel, MD, developed this set of change concepts for increasing AV fistula use among hemodialysis patients in the United States.

Dialysis Facilities: Improvement Strategies

• Fistula First Action Plan Guidelines
• CQI Action Plan Form (PDF)
• CQI Action Plan Form (editable MS Word® document)
• Change Concepts Action Plan
• Root Cause Analysis
• A Provider's Guide to preparing for the vascular access portion of your medicare survey

Dialysis Facilities: Vascular Access Monitoring and Tracking Tools

• Algorithm: Management of Patient with Central Venous Catheter
• Algorithm: Vascular Access Monitoring and Surveillance Flow Chart
• Algorithm: Vascular Access Placement in New Dialysis Patients
• Facility Assessment: Implementation Tracking Tool
• Monitoring and Surveillance of the Failing Fistula
• Monthly Data Trends Form for Vascular Access: MS Excel® spreadsheet for completing electronically or PDF file for printing trends form
• New Access Referral Form: MS Word® document for completing electronically or PDF file for printing form
• Referral to Surgeon for Existing Vascular Access
• Secondary AVF Protocol — "Sleeves up"
• Secondary AVF Access Manager Checklist — "Sleeves up exam"

Nephrologist and Surgeon Tools

• Algorithm: Autologous AVF Algorithm
• Algorithm: Management of Patient with Central Venous Catheter
• Algorithm: Pre-ESRD Fistula Planning
• Algorithm: Vascular Access Monitoring and Surveillance Flow Chart
• Algorithm: Vascular Access Placement in New Dialysis Patients
• Draft Letter to Primary Care Provider: Editable MS Word® document
• New Access Referral Form: MS Word® document for completing electronically or PDF file for printing referral form
• Referral to Surgeon for Existing Vascular Access

Patient Education

• Informational brochure for patients (328 KB PDF file opens in new window)
• AV Fistula Awareness poster (239 KB PDF opens in new window)
• Patient Education Video: Your Access to Success
  Your Access to Success is a video produced by Renal Network 11. The video educates patients on the different types of vascular access. In it, patients describe the benefits of receiving dialysis with an arteriovenous fistula. (13 minutes in length)
  
  To order the video, please download this order form and mail it along with payment to Renal Network 11.

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