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Sensing Savvy

Which Is Better, Percutaneous Transluminal Angioplasty or Surgical Repair?

Posted by Deborah Brouwer-Maier RN, CNN on May 31, 2017 6:30:00 AM

Two of the most common options for treating a vascular access stenosis in hemodialysis patients are percutaneous transluminal angioplasty (PTA) and fistula reconstruction/revision surgery. Because it is more convenient, PTA has become preferable to surgical revision.

To examine the efficacy of and compare percutaneous transluminal angioplasty or surgical repair, clinicians from three hospitals in Taiwan investigated the duration of fistulas and maintenance costs for dialysis patients. Their study was published in the 2017 February issue of the Journal of Vascular Access.

In the study, charts were reviewed retrospectively from 544 hemodialysis patients from two dialysis units in a teaching hospital in the southern area of Taiwan. Researchers analyzed the frequency of PTA or revascularization surgery and the use of related medical resources.

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Topics: Hemodialysis

Your Hemodialysis Access: A Lifeline for a Lifetime

Posted by Deborah Brouwer-Maier RN, CNN on May 29, 2017 7:00:00 AM

It only takes minutes to save your hemodialysis access, your lifeline. All you have to do is look, listen, feel and then also measure.

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Topics: Hemodialysis

Kidney Care News to Know

Posted by Deborah Brouwer-Maier RN, CNN on May 24, 2017 7:00:00 AM

DaVita Appoints Robert Lang President of International Market

Before joining DaVita, Lang led the international markets business at insurance provider Bupa. He has experience working in Europe, the Middle East, Asia and Latin America.

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Topics: Hemodialysis

Create a Culture of Patient Safety at Your Dialysis Clinic

Posted by Deborah Brouwer-Maier RN, CNN on May 8, 2017 7:30:00 AM

Do Dialysis Patients Feel Safe?

According to data from the 2007 Renal Physicians Association (RPA) Health and Safety Survey Project, nearly half of dialysis patients surveyed said they “sometimes, usually or always worry that someone will make a medical mistake during one of their dialysis treatments.” Not only that, 87 percent of staff indicated a mistake had been made in a patient’s treatment over the last three months.

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Topics: dialysis patients, Hemodialysis

3 Healthcare Trends to Watch in 2017

Posted by Thomas Gole, DO, FAAFP on Apr 19, 2017 6:30:00 AM

As 2017 takes shape, the healthcare industry is looking at a massive upheaval: The end of, or changes to, the Affordable Care Act (ACA), new technology advances, likely new healthcare legislation and changes in patient care.

To give you a clearer picture of what the year could bring, we identified three healthcare trends to watch.

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Topics: Hemodialysis

An Interview with Vascular Access Coordinator Joan Covert

Posted by Deborah Brouwer-Maier RN, CNN on Apr 17, 2017 7:00:00 AM

Joan Covert had been working as a dialysis technician when her friend told her she might be a good fit for a newly vacant vascular access coordinator position at their clinic. Since taking the position five years ago, she has seen it evolve as patient needs and technology change.

We sat down with Joan to learn why she loves being a vascular access coordinator and what you should consider if you want to be one.

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Topics: Hemodialysis

Vascular Access Coordinator Interview: Forest Rawls

Posted by Deborah Brouwer-Maier RN, CNN on Apr 10, 2017 7:00:00 AM

Forest Rawls had his first kidney care experience while serving in the U.S. Navy as a transplantation technician in 1974. He held the following positions, operating room technician, plasmapheresis technician, hemodialysis technician, tissue bank technician and as a tissue and organ harvest procurement team member — but it was kidney care that really stood out to him.

Now, he’s a vascular access coordinator with Emory Healthcare Dialysis Clinics, a position he intends to hold until he retires.

We sat down with Forest to learn why he loves being a vascular access coordinator and what you should consider if you want to be one.

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Topics: Hemodialysis

What to Know About the Dialysis PATIENTS Act

Posted by Deborah Brouwer-Maier RN, CNN on Mar 6, 2017 6:30:00 AM

Patients with end-stage renal disease (ESRD) require costly and complex care. The Dialysis PATIENTS Act was introduced by Congress to give these patients an additional choice for receiving care. It also aims to address the integrated care limitations of programs like Medicare Advantage ESRD Chronic Special Needs Plans and ESRD Seamless Care Organizations.

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Topics: Hemodialysis, dialysis patients

Why Your Dialysis Clinic Needs a Vascular Access Coordinator

Posted by Deborah Brouwer-Maier RN, CNN on Feb 6, 2017 6:30:00 AM

Often referred to as the Achilles heel of hemodialysis, the vascular access is the lifeline of the patient — successful hemodialysis depends on it.

When an access fails, serious complications can occur. The patient is at risk for infection, sepsis — even death. For a dialysis clinic, these patient complications can result in missed appointments, delayed scheduling and surgery cancellations, which can hurt a clinic’s bottom line.

For many clinics, continuity of care is a major concern.

What if one new hire could help ensure continuity of care and address access issues before they occur?

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Topics: Hemodialysis

Kidney Care News to Know for January

Posted by Deborah Brouwer-Maier RN, CNN on Jan 30, 2017 6:30:00 AM

Nephrology Practices & Optimizing Performance

To help nephrologists determine whether compensation is the best it could have been this year, the Renal Physicians Association has published its biennial nephrology business survey results in an interactive tool. The tool “helps practices identify areas of excellence and those that can be improved upon in ways not previously available,” according to Nephrology News & Issues. The survey found many practices have seen an increase in patients and they rely more heavily on advanced practitioners to provide this care.

Source: Nephrology News & Issues

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Topics: Hemodialysis

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