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Provincial Guidelines and Tools

Patient Pamphlets

Patients can learn more about their vascular access options and care through this range of pamphlets.

BC is the only province with provincial standards for creation, maintenance and repair of vascular accesses. The Provincial Vascular Access Services Team has also produced reports on best practices for VA clinics and referral/transfer processes, as well as a series of cannulation teaching tools. See the following links for more information.

Vascular Access Guidelines & Tools	Links to Documents

Assessment of Maturation of Newly Created AV Fistulas and Grafts	Full Guideline Summary Guideline Form Assessment poster


Best Practices in VA Clinics	Best Practices Report


Buttonhole Cannulation	Full Guideline Summary Guideline Teaching Tool: Buttonhole Tracks


Care of Needling Sites Post-Hemodialysis for Fistulas & Grafts (Hemostasis)	Full Guideline

Cannulation of AV Fistulas and Grafts	Full Guideline Summary Guideline Guideline Addendum: Matching Cannulators and Accesses Care of Your Fistula and Graft poster Ways to Prevent Aneurysms in Fistulas poster


Cannulation Teaching Tools	Teaching Tool: Novice Cannulator Novice Cannulator: Self Learning Package Teaching Tool: Skilled Cannulator Skilled Cannulator: Self Learning Package Teaching Tool: Advanced Cannulator Advanced Cannulator: Self Learning Package Physical Examination of Arteriovenous Fistula (video)


Central Venous Catheter (CVC) Guidelines	CVC Discontinuance of Dialysis CVC Dressing Change and Exit Site Care CVC Flushing and Locking CVC Initiation of Dialysis Non-Tunneled CVC Removal Tunneled CVC - Repair of Cracked Catheter Adaptor Limb or Clamp


Insertion and Removal of Tunneled Hemodialysis Catheters	Full Guideline Summary Guideline