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BINAKAYAN HOSPITAL AND MEDICAL

CENTER
175 Covelandia Road, Barangay
Balsahan-Bisita,
Binakayan, Kawit, Cavite, 4104
Contact No. (046) 434-1484 Loc. 206
HEMODIALYSIS UNIT
VASCULAR ACCESS CARE

VASCULAR ACCESS CARE

Temporary Access Site (Catheter inserted)
1. Intrajugular
2. Subclavian
3. Femoral
Guidelines:
1. Once the temporary catheter site is inserted, the
patient/relative must update the nurse to record the
following information:
date of the operation
name of the vascular surgeon
name of the hospital/institution the operation is
made
2. The patient/relative must assess and report to the
nurse on duty the following sign and symptoms:
any bleeding/ soaking of the blood in the

dressing and pain on the insertion site.

inflammation or tenderness
foul smelling odor
fever or chills
catheter seems dislodged

3. The patient must keep the dressing clean and dry.

Swimming is not allowed and taking a bath must be
assisted with a relative so as to avoid moisture in the
insertion site that causes infection.

4. Wear a mask over your nose and mouth anytime the

catheter is opened to prevent bacteria from entering the
catheter and your bloodstream. Professionals changing

the dressing should wear a mask and gloves as well.

Must make sure that the anti-bacterial ointment is
applied on the insertion site after catheter care.

5. The caps and the clamps of your catheter should be

kept tightly closed when not being used for dialysis.
Only your care team should use your dialysis catheter to
draw blood or to give medications or fluids.
6. Avoid physical activity that might dislodge the access,
which could result in excessive bleeding and air
entering the circulatory system.
7. If the catheter exit site bleeds, apply firm pressure
over the bleeding site with a clean gauze. Proceed
immediately to the hospital and inform the dialysis staff
immediately.

name of the hospital/institution the operation is

made

2. The patient/relative must assess and report to the

nurse on duty the following sign and symptoms:

pain on AVF/Gortex site

absence of Bruit (auscultation)
absence of Thrill (palpation)
persistent/continuous bleeding
inflammation, draining pus, hematoma, swelling
and pain

3. The patient must not allow to take blood pressure and

blood extraction on the affected limb.
4. The patient must avoid tight straps, watchbands,
jewelry or clothes that will restrict the limb.
5. Avoid sleeping on the affected limb.
6. Do not use creamsor lotions over the access site.

Permanent Access Site

1. AVF or Arteriovenous Fistula
2. Gortex/Graft
Guidelines:
1. Once the permanent site is made, the patient/relative
must update the nurse to record the following
information:
date of the operation
name of the vascular surgeon

7. If the access site bleeds, apply firm pressure over the

bleeding site with a clean gauze until it stops. Proceed
to the hospital and inform the dialysis staff immediately
if bleeding does not stop within 30 minutes of firm
pressure.
8. Dont carry any heavy objects or lift heavy objects
greater than 5 pounds with the affected limb.
9. If the patient has any pain in the affected hand or
fingers including paleness, coolness, numbness,

tingling, weakness, inability to move fingers or any other

concerns, inform the nurses/nephrologist.