Fistula First

Fistula First Data

Vist the Fistula First Data page and view ESRD Network 9 and ESRD Network 10 - prevalence, incidence and catherter rates by network, state and Health Statistical Area (HSA).

K/DOQI established the basis for ESRD quality improvement to be to be defined in great measure by the use of the optimum forms of vascular access in particular the AV fistula. Collaboration between Networks, providers, physicians, vascular surgeons, and health professionals will be key to spread the change ideas for improving AV fistulas. For more information on the national initiative, view the Project Overview page.


New and Noteworthy


Featured Links

Other Links

American Nephrology Nurses Association (ANNA) "Save the  Vein" Project
This program focuses on the importance of vein preservation in chronic kidney disease (CKD) patients. It features silicone wristbands that reads “SAVE VEINS – NO IV/LAB DRAWS” for patients to wear to minimize the vascular trauma prior to placement of a fistula. A patient education brochure is also available to help educate about the importance of vein preservation.

Change in Reimbursement: Level Payment Field for AVF & AVG

FFBI Hemodialysis Vascular Access Flyer
English version [PDF, 372KB]
Spanish version [PDF, 308KB]


2009 Vascular Access Goals

≥ 66% prevalent fistula use
≤ 10% catheter only in use for > 90 days

For more information on TRN Fistula First projects, view Quality Improvement Work Plan (QIWP).


TRN Educational Programs


TRN Educational Tools



Patient Education
  1. Choosing Your Hemodialysis Vascular Access
  2. Conquering Your Fistula Fear
  3. Dialysis Needle Fear: Easing the Sting
  4. Don’t Be Clueless
  5. Doppler Studies & Vessel Mapping
  6. Ease the Ouch
  7. Frequently Asked Questions For Patients and Families
  8. How Do I Look?
  9. Introductory ArterioVenous Fistula
  10. Self-Cannulation of Vascular Access Procedure Example
  11. TLC Your Access
  12. Your Access Care Pocket Guide


Staff Education

  1. 90-day Count Down! Planning for Catheter Removal!
  2. AV Fistula Barriers Questionnaire
  3. AVF Patient Readiness and Goal-setting:
  4. AV Fistula Failure-to-Mature Scan
  5. AVF Quick Reference
  6. Buttonhole Cannulation Skills Checklist
  7. Catheter Assessment Tool/Algorithm
  8. Catheter Reduction Tool for Facilities
  9. Checklist of Indications for Hemodialysis Catheter Use
  10. Clamp Usage Policy and Procedure
  11. Dialysis Facility Action Steps
  12. Draft Letter to PCP From Nephrologist
  13. Evaluate Every AV Graft Patient for Possible Secondary AVF: Change Concept 6
  14. Fistula Maturation Protocol
  15. Quality Assessment and Performance Improvement (QAPI) (Minutes of the Meeting)
  16. Reducing Central Venous Catheter Infections
  17. Sample Referral Letter to a Surgeon
  18. Secondary AV Fistula in Patients with A-V Grafts
  19. Sleeves Up Checklist
  20. Vascular Access Root Cause Analysis Tool
  21. Vascular Access Type Utilization Collection Form
  22. What Professionals Can Do to Maximize AVF as Primary Access


Special Interest

Visit Oklahoma College of Medicine Web site to view program on vascular acccess. The purpose of this program is to educate any physician who provides or directs vascular access placement for hemodialysis patients. The program is divided into individual presentations and delivered in video clips. The estimated time for completion of this program is 10.5 hours. Miscellaneous training materials such as, PowerPoint slides and handouts are available for download.

The Renal Network, Inc.
911 E. 86th Street, Suite 202
Indianapolis, IN 46240
Phone: (317) 257-8265
Fax: (317) 257-8291
Patient Line:
1 (800) 456-6919
Email: [email protected]

Last updated on: September 7, 2012