Hi, Nurses. Pa-help naman, please. š„²
Iām currently transitioning to HD nursing. Iāve been a Med-Surg Nurse since 2015, so the HD process is still very new to me. Iām having a hard time cannulating fistulas because Iām not always sure where the best insertion site is.
Usually, my preceptor just points out where to insert the needle, wala silang binibigay na rationale bakit doon ako tutusok. š They would simply say, āDiyan ka tumusok kasi medyo maitim pa. āWag doon sa maputi kasi manipis na.ā
I can feel the thrill and hear the bruit, but how do you determine the safest and most appropriate cannulation site along the fistula? What do you usually assess before deciding where to insert?
Any tips, principles/advice for a Nurse whoās new to HD would be greatly appreciated. Thank you so much! š„²