title: Implementing the buttonhole method using the Biohole peg in a busy dialysis unit: a report of the development of current practice.
abstract: A report outlining experience gained from the practice of introducing the buttonhole (BH) method of arteriovenous cannulation using the Biohole device, a polycarbonate sterile peg, to form the tunnel tracks. The author's findings are discussed informally and compared with current published literature to provide encouragement to nursing colleagues who are interested in introducing this method of needling, using the peg, into a typically busy haemodialysis unit.
authors.affiliation: Renal Nurses Office, North Block, Royal Berkshire Hospital, London Road, Reading, Berkshire RG1 5AN, UK. jennie.king@royalberkshire.nhs.uk
authors.forename: Jennie
authors.initials: J
authors.lastname: King
mesh_terms: D001166:Arteriovenous Shunt, Surgical / Q000451:nursing*; D001207:Asepsis / Q000379:methods; D001291:Attitude of Health Personnel; D002406:Catheterization, Peripheral / Q000009:adverse effects / Q000295:instrumentation* / Q000379:methods / Q000451:nursing*; D002983:Clinical Competence; D015400:Clinical Nursing Research; D004059:Diffusion of Innovation; D004867:Equipment Design; D055317:Evidence-Based Practice; D006801:Humans; D009339:Needles / Q000706:statistics & numerical data; D024802:Nurse's Role; D009730:Nursing Assessment; D009741:Nursing Staff, Hospital / Q000193:education / Q000523:psychology; D011076:Polycarboxylate Cement; D010818:Practice Patterns, Physicians' / Q000706:statistics & numerical data; D016032:Randomized Controlled Trials as Topic; D006435:Renal Dialysis / Q000295:instrumentation* / Q000451:nursing; D012107:Research Design; D014945:Wound Healing
chemical_list: D011076:Polycarboxylate Cement; C005506:polycarbonate