I just got a job at a hemodialysis clinic after i got certified in phlebotomy and i did my first cannulation this week and loved it. Im excited to do more. I had no issues and most importantly, neither did the patient. He was very willing for me to do it. I was able to hit the artery and vein and it all went smoothly. Makes me feel like im in the right job/career now. I wanna do dialysis nursing
@dialysisnurselindsey
9 ай бұрын
Thank u! Yes, keep it going!!
@saveamerica2896
2 жыл бұрын
This was way more than i learned at my job .
@dialysisnurselindsey
2 жыл бұрын
Thanks for watching Gilly!!
@Specialcowgirl69
3 ай бұрын
Where do you work? I work at DaVita and there’s loads of training
@TanTran-dr8pj
10 ай бұрын
Thank you Lindsey! Just found your channel. I am transitioning to Dialysis RN from being an ICU nurse for a year and I am very excited. Thanks for the great content. Lots to learn!
@dialysisnurselindsey
7 ай бұрын
Thank u!
@kimberlymaples6532
Ай бұрын
Im excited i found this channel im learning so much already.
@dialysisnurselindsey
Ай бұрын
Awwww!! Thank u too!!
@elizabethcampbellgrigsby4777
3 ай бұрын
Thank Lindsey you are such a great help I am a dialysis patient and I wanted to learn as much terminology as possible ❤
@dialysisnurselindsey
3 ай бұрын
Ur welcome! Thank u for watching! 🥰🤗
@lori-reneesmith7502
7 ай бұрын
Hi Lindsey! Just found your channel and am looking forward to the quality learning. Thanks so much!
@dialysisnurselindsey
6 ай бұрын
Thank u!!
@ayca4929
2 жыл бұрын
Hi Lindsay, thank you so much for the videos, they are so helpful and fun. My husband is a dialysis patient planning to go on home dialysis and i am to be the nurse😬. I hope i can manage🙏🏼 Love from İstanbul❤️
@dialysisnurselindsey
2 жыл бұрын
Yes 🙌 to home dialysis!! U will have a lot of support and autonomy doing home dialysis. Give it a year, and u will be teaching me some things!! 😃
@sourav6339
Жыл бұрын
🌹
@bltefft
Жыл бұрын
Thanks for this video, I had my fistula installed on Apr 25, 2023. Yesterday, Jun 22, 2023, my vascular surgeon said I can start using it for dialysis - it's been healing for about 9 weeks.. So, today, Jun 23 (a Friday,) my dialysis nurse will use it for the first time - and I'm a little apprehensive. They gave me some tubes of Lidocaine and Prilocaine 2.5 % / 2,5 % Cream to rub on 30 minutes prior to dialysis. I guess it's a numbing cream. I've been using a chest catheter since Dec 28, 2022. It has been no problem, but I can't get it wet in a shower - it'll be good taking a shower again. The surgeon said I'll have to use the fistula a while before they can remove the catheter, though - in case there's a problem with the fistula. Hear we go.
@dialysisnurselindsey
Жыл бұрын
Love this!! How did ur first day with needles go?! 💜 thank u so much for sharing 🤗
@bltefft
Жыл бұрын
@@dialysisnurselindsey - I have to wait till Monday, the day my doc approved me for.
@dialysisnurselindsey
Жыл бұрын
Awesome. Keep me posted please! 😃
@Ani24123
Жыл бұрын
Love you mam... The best and sincere presentation
@dialysisnurselindsey
Жыл бұрын
Thank you 🥰
@CyberScott86
Жыл бұрын
This channel keeps giving!
@dialysisnurselindsey
Жыл бұрын
Thank u!!! 🤗 🥰
@heidiperdue2634
2 жыл бұрын
Please please please do a video on per cutaneous AV fistulas
@DeniseRene407
2 жыл бұрын
How do you identify the anastomosis? Is it where the thrill feels the strongest?
@dialysisnurselindsey
2 жыл бұрын
It’s the scar where the incision was made for the fistula
@aldaktar1077
5 ай бұрын
a prosedure of 1 minutes we are keeping the needile with saline and flash the needle, and then check with that same syring , no need to use two syrings, its a very easy and strait forward procedure, which I used to do more than 14 years. and we are using to keep cotton under the needle to insure it will be on the same angel all time, instead of folding the wings of the needle which will be so annoying for the patien during 4 hrs of dialysis. but still thank you for your explanation.
@alberinawheat297
2 жыл бұрын
Where can I get one of those practice arms.
@MiMiLuV3999
Жыл бұрын
Any more tips for needle removal or ideas on how one would practice please!!!!
@dialysisnurselindsey
Жыл бұрын
Practice on real people. U’ll get it!
@user-er5lb4tu7o
Жыл бұрын
I'd say: remove the needle at the same angle as during insertion & don't apply pressure to the puncture site too early! Pushing down too early pushes the needle into the vessel and may cause vessel damage and pain.
@amor2019
Жыл бұрын
What is the maximum pressure you would dialyze a patient for AP and VP for AVF and AVG? What is the maximum pressure you would dialyze a patient for CVC? Besides checking for kinks in the line what other interventions would you do?
@dialysisnurselindsey
Жыл бұрын
Check ur facility protocol 😊
@LP-fz5xm
Жыл бұрын
@@dialysisnurselindseygood answer 😅
@dialysisnurselindsey
Жыл бұрын
Thanks!!!
@tashigayley
2 жыл бұрын
So useful topic. What’s is the condition of blood transfusion during dialysis? Can we make it fast flow or just as normal?
@dialysisnurselindsey
2 жыл бұрын
Fast! , transfuse pre filter. Always have an access 😃
@tashigayley
2 жыл бұрын
Thank u
@user-er5lb4tu7o
Жыл бұрын
Check your institution's policy and procedures. It differs. In my institution, blood is given post-filter since pre-filter is associated with an increased chance of filter clotting (which would also lead to decreased solute removal).
@oltzkizze345
Жыл бұрын
I always love to feel it with my palm than my finger too. I feel like I can hear it rather than just feeling it.. weird right? But I feel comfortable that way.
@Autismlife44
Жыл бұрын
Hi I always have problem identifying where the fistula ends n tend to go on tissue I can’t feel the thrill towards the end but I try to avoid the sites people have been cannulating.any tips please thank you for your videos
@aldenabesa9096
Жыл бұрын
Great demo! But i think your gauze are not enough for the high pressure fistula. It will be soaked! We use the rolled like a ball sterile gauze.
@dialysisnurselindsey
Жыл бұрын
😂
@kimberlymaples6532
Ай бұрын
They biggest problem iv had with the plastic safety cover is a lot of time it seems to cut the skin if u are pushing it. Maybe im not doing the right technique becasue i am brand new...but i would appreciate any advice or help on that technique. TIA❤ 😊
@saveamerica2896
2 жыл бұрын
How do you know exactly where the anastomis is?? Always at wrist ??
@dialysisnurselindsey
2 жыл бұрын
It’s a scar near the fistula thrill/Bruit. I always look for the scar 😃
@saveamerica2896
2 жыл бұрын
@@dialysisnurselindsey thank you
@dialysisnurselindsey
2 жыл бұрын
Ur welcome! 🫂
@jordancoronado8734
5 ай бұрын
Hi I’m a newer dialysis tech 6 months in and I need assistance on cannulating to avoid high venous/arterial pressures and how to fix air embolisms. Please help!!! 😢
@garrain1
2 жыл бұрын
Have you cannulated a WavelinQ endo fístula AV? your point of view will be interested
@dialysisnurselindsey
2 жыл бұрын
I have only heard about these! Have u? What’s ur experience been with it?
@jessica-hi4dr
7 ай бұрын
Hi! Im a new tech, im wondering how do you know exactly where to stick? Im having issues understanding what to look for and feel when picking my spot for cannulation because sometimes i get no flashback and its very discouraging. Thank you!
@dialysisnurselindsey
7 ай бұрын
U should feel a pulse, see a bulge when u put the tourniquet on. And the spot should feel spongy.
@elizabethdickinson8814
Жыл бұрын
fun fact, bruit just means noise in French
@dialysisnurselindsey
Жыл бұрын
Omg that is fun!! Now I know a French word!! Thank u so much!!!!!
@mynamestartswithj5415
2 ай бұрын
Hi. My question might sound absurd but is there any way to make the hands feel lighter during the cannulation? Patients said something that my hand is quite heavy. Also, I feel like I always have trouble with the angle of my cannulation. I do it on 20-30 degrees and patients kinda complained that it is painful. I always feel bad for them and there are times that Im a bit afraid to do it because of their reactions.
@chertiff03legaspi
7 ай бұрын
Do you usually position on the side of the arm while cannulating? Is that easier?
@dialysisnurselindsey
7 ай бұрын
Are you talking about the machine? Thanks!
@oltzkizze345
Жыл бұрын
I have a question out of topic but related to dialysis. Does the blood flow rate also contributes with patients having tachycardia during dialysis? Patient has DM and Heart dse.
@besideskidrauhl
Жыл бұрын
Why are clamps not used on grafts?
@dialysisnurselindsey
Жыл бұрын
Too much pressure. The Fistula can tolerate more direct pressure
@homegadgets5767
Жыл бұрын
Hi Lindsey, great video. I want to ask that what is the time duration for removing these tapes after dialysis?
@dialysisnurselindsey
Жыл бұрын
24 hours max
@homegadgets5767
Жыл бұрын
@@dialysisnurselindsey Thank you so much for your quick reply. Actually I am recently diagnose with kidney failure and right now I am on dialysis. 😞
@dialysisnurselindsey
Жыл бұрын
Ur doing great! Lots to learn. One day at a time 🤗
@homegadgets5767
Жыл бұрын
@@dialysisnurselindsey Thanks. If I want to ask anything related to dialysis, can you please help me and what is the best way to contact you?
@dialysisnurselindsey
Жыл бұрын
Nurselindseysippl@icloud.com I must stress I can provide education but not medical advice 👍
@MichaelSmith-my2jd
11 ай бұрын
We cannulate the arterial needle first?
@dialysisnurselindsey
6 ай бұрын
That’s what I do!
@teffanygrimmer3088
Ай бұрын
So you don’t put gauze over the needle , then tape to secure? So that’s glue on an open wound. Infection? I rather gauze over the needle site
@mandymcdonald7764
Жыл бұрын
Hello! I am starting my Dialysis Tech Training. Where did you get this practice arm? Is there a way I can get one? My ultimate goal is to become a dialysis nurse! I’d like to practice as much as I can. I have tiny veins. I don’t know know if it’s as hard or painful with a fistula but I know painful it can be so I want to have tons of practice!
@dialysisnurselindsey
Жыл бұрын
Honestly, u don’t need the practice arm, u’ll get to try on a patient soon! Keep on going!! 👩🏼⚕️ ur first needle poke will be such a relief…ur doing great!
@mandymcdonald7764
Жыл бұрын
@@dialysisnurselindsey Thank you! I love your videos. Please keep them coming! 😀
@dialysisnurselindsey
Жыл бұрын
🥰 u betcha!
@gabriellehooks3982
3 ай бұрын
Lpn here! I have an interview at a dialysis center for a preceptor position. Do you know what’s expected of an lpn at a dialysis center as oppose to RN? I am going back to school for my RN in the fall I love being a nurse ❤
@dialysisnurselindsey
3 ай бұрын
I’m not sure! Lmk! Congrats on going back to school. Keep me posted. Each state has a different scope for their LPNs 😃
@gokulram1202
9 ай бұрын
Mam, Which needle is first removed? Artery or venous?
@MicBerrie
9 ай бұрын
Venous
@gokulram1202
7 ай бұрын
Why mam?
@dialysisnurselindsey
6 ай бұрын
Easier for the patient to hold the site to stop bleeding 🩸
@loulousaintfort9011
Жыл бұрын
What do you do when you miss?? I’m a tech and It’s always a hit or miss with me
@dialysisnurselindsey
Жыл бұрын
I ask for help. It takes practice!
@dialysisnurselindsey
Жыл бұрын
I still miss!
@dcmarquez3816
11 ай бұрын
Hi Lindsey, I really like your videos because I am a hemodialysis technician student, however I am also a professional hospital clinical Laboratory Assistant/phlebotomist with thirty years of experience and I think your gloves are too big for you and should be a snug fit for better efficiency.
@dialysisnurselindsey
6 ай бұрын
Thank u!
@OGronron
2 жыл бұрын
hello there I wanted to ask you a question. I am working for a small company and am curious how much training and what specific training one needs before they are ready to safely cannulate? I have only seen 2 as I am in acutes but curious if you have any resources so I can better educate myself. Do you think at 5 weeks on training and that being following another nurse, one is ready to start cannulating themselves or should I watch more sticks before actually doing them?
@dialysisnurselindsey
2 жыл бұрын
Just go for it! Cannulate everyone u can! Watching is ok, but I 💯 recommend u start cannulating now 😃
@user-er5lb4tu7o
Жыл бұрын
I wouldn't cannulate just anyone. Ask experienced nurses to point you towards patients with easy-to-puncture fistulas. Start out there, and gradually work your way up to more difficult fistulas.
@DialysisStudy
2 жыл бұрын
Nice
@dialysisnurselindsey
2 жыл бұрын
Thanks!!!
@onlinequran_class__9924
Жыл бұрын
Hello ma'am my mom has been doing her dialysis with the fistula it's been a month but the nurse says she must get bump type something.... can you help me regarding this 😅
@dialysisnurselindsey
Жыл бұрын
Buttonhole?
@onlinequran_class__9924
Жыл бұрын
@@dialysisnurselindsey so how can I get that by doing some arm exercises or how please help
@danielblue4460
Жыл бұрын
The issue is skipping the tourniquet.
@mamun2200
2 жыл бұрын
Hi... I'm Rentu Ali From Bangladesh
@maryjoybarrozo3417
7 ай бұрын
are those cleaning gloves?
@dialysisnurselindsey
7 ай бұрын
Haha, yes they are! 🤭
@Autismlife44
Жыл бұрын
How to avoid cannulating same spot
@kiarahawley2288
7 ай бұрын
Rope Ladder Technique 😉
@Autismlife44
7 ай бұрын
@@kiarahawley2288 thank u for reply but whenever I go up I can’t see the blood coming so cannulation failed
@baqarali4562
Жыл бұрын
Well explained 👏 , are you still working as a dialysis nurse
@dialysisnurselindsey
Жыл бұрын
U betcha 😃
@reinawunschel127
2 жыл бұрын
What web site did you get the training kit?
@dialysisnurselindsey
2 жыл бұрын
I borrowed it from my clinic. But I think it was on amazon
@Melivisiona
2 жыл бұрын
👏💗🎉
@dialysisnurselindsey
2 жыл бұрын
🥰
@DeniseRene407
2 жыл бұрын
How do you identify the anastomosis? Is it where the thrill feels the strongest?
@dialysisnurselindsey
2 жыл бұрын
Omg I thought I replied to this! I’m so sorry. The anastomoses is the scar from the surgery :)
@DeniseRene407
2 жыл бұрын
@@dialysisnurselindsey Actually I think you did reply! My comment was posted twice in error lol. I am now 4 weeks into my training so I have had the pleasure of cannulating fistulas now. I don’t really like it. But, I’m not surprised. I didn’t like starting IVs when I worked in the ED. I just do not like sticking people. Anyway, since I am new to dialysis, I will be spending my first few weeks of training with a PCT. I am already a bit tired of this and I am very, very eager to start training with a RN so I can learn that aspect of the job. But, I understand how important it is for me to fully understand the role that the PCTs play in the dialysis clinic before I progress to learning the role of the RN. So, I am trying my best to be patient.
@dialysisnurselindsey
2 жыл бұрын
Yes, I remember my first days of training with the techs and being physically and mentally exhausted. Sounds like ur an empath…u feel the pain of the needles going in ❤️ u’ll be in the RN role soon!!
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