As the average age of the patient population in the U.S. increases, both the prevalence of dialysis and associated comorbid medical disorders continue to rise. In fact, individuals 75 years of age and older have been identified as a significant portion of the population in need of hemodialysis (Aurshina, 2018). As a result, surgeons are placing temporary dialysis catheters in the operating room setting more frequently. Temporary dialysis catheters are designed for short-term use to provide dialysis to patients. Since Certified Surgical Technologists (CSTs) and Certified Surgical First Assistants (CSFAs) assist the surgeon and provide care for these patients during the procedure, they need continuing education hours to increase their knowledge.
The goal of this course is to provide surgical technologists in the operating room with information about temporary dialysis catheters, their indications, contraindications, and potential complications.
As the average age of the patient population in the U.S. increases, both the prevalence of dialysis and associated comorbid medical disorders continue to rise. In fact, individuals 75 years of age and older have been identified as a significant portion of the population in need of hemodialysis (Aurshina, 2018). As a result, surgeons are placing temporary dialysis catheters in the operating room setting more frequently. Temporary dialysis catheters are designed for short-term use to provide dialysis to patients. Since Certified Surgical Technologists (CSTs) and Certified Surgical First Assistants (CSFAs) assist the surgeon and provide care for these patients during the procedure, they need continuing education hours to increase their knowledge.
The goal of this course is to provide surgical technologists in the operating room with information about temporary dialysis catheters, their indications, contraindications, and potential complications.
Outline:
Section 1: Introduction
About This Course
Learning Objectives
Section 2: Temporary Dialysis Catheters
Overview
Anatomy & Physiology of the Kidney
Acute Kidney Injury
Chronic Kidney Disease (CKD)
Temporary Dialysis Catheters
Non-Tunneled Dialysis Catheter (NTDC)
Tunneled Dialysis Catheter (TDC)
Contraindications
Pre-Procedure Workup
Anesthesia
Position of the Patient
Equipment
Technique
Post-Procedure and Complications
Site After-Care
Dietary Needs
Summary
Terminology
Section 3: Clinical Vignette
Establishing a Vascular Access
Section 4: Conclusion
Summary
Course Contributors
Resources
References
Rhiannon Winsor is the Surgical Technology Program Director at Pima Medical Institute in Phoenix, Arizona. She has an associate degree in Surgical Technology, a bachelor’s degree in Business and Marketing, and a master's degree in Business Administration (MBA). She is currently pursuing her doctoral degree in Education. She is a certified surgical technologist (CST) and a certified registered sterile processing technician (CRCST). She has 24 years of experience in the field of surgical technology, in which 12 of those years have been spent teaching in and managing surgical technology programs. She is a subject matter expert with working knowledge in the areas of orthopedics, general, obstetrics, gynecology, plastics, podiatry, sports medicine, neurology, genitourinary, peripheral vascular, ENT, maxillofacial and laparoscopic surgery. Disclosure: Rhiannon Winsor, CST, CRCST, MBA has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.Staff Writer: Monica Caicedo Orellana, MS, RN, OCN, CNE
Monica Caicedo Orellana, MS, RN, OCN, CNE is a SME writer for Relias with over 16 years of acute care experience in nursing. She is licensed as a professional registered nurse in the State of New York. She obtained her OCN certification in 2008. She has served in several leadership roles in the acute care setting, within the Medical Surgical Division, mentoring nurses in renal and oncology specialties and in the role of nurse educator. She has been involved in various institutional committees and quality improvement projects. Monica earned a master’s degree in nursing education from New York University Rory Meyers College of Nursing. In 2017 she obtained a CNE certification by the National League for Nursing. Monica is passionate about professional nursing standards, fostering an environment of continuous lifelong learning as an instrument to improve patient care.
Disclosure: Monica Caicedo Orellana, MS, RN, OCN, CNE has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.
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