Establishing Buttonholes, finally getting our way

[silverhead]

Sharon is still on the "plan" to start NxStage training on the 7th of July, as part of it she is supposed to establish 2 each entry sites (arterial and venous) this makes sense to us cause you can alternate sights each day, she has a really good working  fistula on the lower arm for arterial and another on the upper arm for venous, but as she is now on 3x weekly dialysis it makes no sense to us to try for 4 sights right now because each sight will only be used each 4 days, not enough time to establish a good working buttonhole at each, so last night the Neph came in and we voiced our concerns and he agreed and ordered that the best looking sights be used from now on, until they are working good, then when we get on the NxStage at 5 to 6 days a week it makes sense to work on the other 2 sights, anyway, does this sound right to you folks?

[skyedogrocks]

Rob wanted to establish button holes with his center before he started Nx Stage training, but his nurses weren't comfortable with it.  They said that because he doesn't get the same nurse or tech each time, it is hard for them to gauge where to go.

This past week Rob has had issues with his fistula and had to go in-center for his treatment (his on-call nurses were both on vacation,  , that's a whole other story).  The nurses/techs were not comfortable using his button hole access because they weren't familiar with him and his access (new center due to the Nx Stage).  So, his arm looks like a battlefield once again.

Hopefully Sharon's center is different and can start this before the Nx Stage training.  It will definitely help.

[Sluff]

Just for you...http://ihatedialysis.com/forum/index.php?topic=965.0

[keefer51]

i was curious about button hole. But when i brought it up they didn't want to go that way. I got the feeling that they weren't interested. It would help me out a great deal. I think i should really push the idea a little more.