Abstract:
Abstract
Backgrounds: According increased raising end stage renal disease and Patient with
acute or chronic kidney failure require dialysis an appropriate vascular access for
HD . Vascular access is needed allowing needles to be inserted in order to remove and
return blood during haemodialysis .
Objectives in the study assess nurses competence regarding vascular access care in
dongle HD unit
Methodology :this descriptive cross sectional study done in Dongla Renal Centre
among 17 nurses .the data was collected by questionnaire and check list during the
period from April to August 2017. Analyzed by simple manual statistic technique and
presented in tables and figures
Result : The study concluded that, nurse's have good knowledge regarding type of
fistula ,and arterial and venous needle point and cannulation technique ,and time
inserted tow needle in mature. fistula ,while they show poor knowledge regarding
maturation fistula and role 6 maturation and time of first cannultion of graft and trial
number, exit site dressing and complication (thrombosis , blood leak stenosis ).
Combering then performance they have good performance assess vascular access
before start dialysis and disconnect patient and poor performance regarding us
gloves and dressing central venues heamodialysis catheter
Recommendation :continuous agreement training courses and work shops at level of
contrary or national kidney canter in Sudan and continuo education by seminars or
lectures at level of professional in the unit,providing continuo education regarding
vascular access by study scholarships to interchange information and acquire
experience because most available curses about application of machines, the
government and manager should pout plane to improve the quality of services and
continues monetary and encourage good performance, availability resource for
continue education like internet to communicate another canter and international
kidney to convoy nouvelles,and encourage research and study about vascular access
in HD (infection control .pt satisfaction about services )
