title: A review of hemodialysis vascular access devices: improving client outcomes through evidence-based practice.
abstract: The number of clients with end-stage renal disease and acute kidney injury requiring kidney replacement therapy is at an all-time high. At the end of 2010, the number of persons in the United States with end-stage renal disease totaled 594,374. Because the majority of clients select hemodialysis, understanding best-practice techniques to prevent infection is paramount. The purpose of this article is to review best-practice recommendations for care of the 3 major vascular access devices used for hemodialysis, with a particular focus on infection prevention recommendations. Implications for infusion nurses are also discussed.
authors.affiliation: Kidney Dialysis Unit, Carolinas Medical Center, Charlotte, North Carolina. James Robson Jr, BSN, RN, CCRN-CMC, CNN, is a nephrology nurse who specializes in acute adult hemodialysis. He practices in the Kidney Dialysis Unit at Carolinas Medical Center, Charlotte, North Carolina.
authors.forename: James Paul
authors.initials: JP
authors.lastname: Robson
mesh_terms: D001164:Arteriovenous Fistula; D001458:Bandages; D002408:Catheters, Indwelling; D055318:Evidence-Based Nursing; D006801:Humans; D017053:Infection Control / Q000379:methods / Q000592:standards; D017410:Practice Guidelines as Topic; D006435:Renal Dialysis / Q000295:instrumentation*; D062666:Vascular Access Devices