Dialysis Access: A Fragile Lifeline

This activity will address the tale of the neglected aneurysm, the pros and cons of forearm arteriovenous graft (AVG) before upper arm arteriovenous fistula (AVF), and the pros and cons of buttonhole cannulation.  

Original Release Date:  August 25, 2015
Review Data: December 15, 2016
Expiration Date: August 25, 2017

Learning Objectives: 

After participation in this activity, learners will be able to:

  • Recognize the importance of identifying and treating dialysis access aneurysm 
  • Discuss the basis of selecting an ideal upper arm vascular access
  • Review the clinical evidence for using button hole cannulation technique 

Target Audience

  • Physicians
  • Nurses
  • Dialysis technicians
CME/CE Information:

The National Kidney Foundation is accredited by the American Nurses Credentialing Center (ANCC), the Accreditation Council for Pharmacy Education (ACPE), and the Accreditation Council for Continuing Medical Education (ACCME), to provide continuing education for the healthcare team.

Physician

The National Kidney Foundation designates this enduring activity for a maximum of 1.5 AMA PRA Category 1 Credit(s) TMPhysicians should claim only the credit commensurate with the extent of their participation in the activity. 

Nurse

Awarded 1.5 contact hours of continuing nursing education (includes 0.0 contact hours in the area of pharmacology).

Method of Participation:

Learners will review the materials on accreditation information, target audience, learning objectives, and disclosure information; participate in the entire self-study consisting of slides and audio; and complete the post-test (minimum score of 70% required) and evaluation to successfully earn credit.  The estimated time for completion is 1.5 hours. To receive AMA PRA Category 1 Credit(s)™, participants must receive a minimum score of 70% on the post-test.   

Declaration of Disclosure:

It is the policy of the National Kidney Foundation (NKF) to ensure balance, independence, objectivity, and scientific rigor in all CME/CE activities. Any individual who has control over CME/CE content is required to disclose to learners prior to the activity any relevant financial relationship(s) they may have with commercial interests supporting this activity or whose products or devices are discussed in this activity.  

If, on the basis of information disclosed, a perceived conflict exists, resolution will be achieved based on NKF's Disclosure and Conflict of Interest Policy.

Unlabeled/Investigational Use:

During their presentations, faculty may discuss an unlabeled use or an investigational use not approved for a commercial product. Each faculty member is required to disclose this information to the audience when referring to an unlabeled or investigational use.

Disclaimer:

The faculty and National Kidney Foundation (NKF) do not recommend the use of any pharmaceutical, diagnostic test, or device outside of the labeled indications as approved by the FDA. Please refer to the official prescribing information for each product for approved indications, contraindications, and warnings.

Information contained in this NKF educational resource is based upon current data available at the time of publication. Information is intended to help clinicians become aware of new scientific findings and developments.  This NKF educational resource is not intended to set out a preferred standard of care and should not be construed as one. Neither should the information be interpreted as prescribing an exclusive course of management.

Variations in practice will inevitably and appropriately occur when clinicians take into account the needs of individual patients, available resources, and limitations unique to an institution or type of practice. Every healthcare professional making use of information in this NKF educational resource is responsible for interpreting the data as it pertains to clinical decision making in each individual patient.

Course summary
Available credit: 
  • 1.50 AMA PRA Category 1 Credit™
  • 1.50 ANCC Dialysis Technician Contact Hours
  • 1.50 ANCC Nurse Contact Hours
  • 1.50 Attendance
Course opens: 
08/25/2015
Course expires: 
08/25/2017
Cost:
$35.00
Rating: 
4
Faculty Disclosures:

Michael Allon, MD
Professor of Medicine
University of Alabama at Birmingham
Birmingham, AL
Disclosure: Received a consulting fee from CorMedix in the area of dialysis catheters.

Charmaine Lok, MD, FNKF
Nephrologist, Staff Physician
University Health Network - Toronto Hospital
Toronto, Ont.
Disclosure: Other: TVA Medical to conduct NEAT.

Tushar Vachharajani, MD, FASN
Chief, Nephrology Section
W.G. (Bill) Hefner VA Medical Center
Salisbury, NC
Disclosure: Has no financial relationships with commercial interest(s).

Planning Committee Disclosures:

Beth Evans, RN, MSN, CNP, DNP
Nephrology Nurse Practitioner
Renal Medicine Associates
Albuquerque, NM
Disclosure: No financial relationships with commercial interest(s).

Kim Deaver, MSN, RN, CNN
Dialysis Nurse Manager
University of Virginia
Swoope, VA
Disclosure: No financial relationships with commercial interest(s).

Gail Torres, MS, RD, RN
KLS Program Director
National Kidney Foundation
New York, NY
Disclosure: No financial relationships with commercial interest(s).

Nathalie Harden
Director, CME
National Kidney Foundation
New York, NY
Disclosure: Has no financial relationships with commercial interest(s).

Danielle Nathan, MA
Professional Education Director
National Kidney Foundation
New York, NY
Disclosure: Has no financial relationships with commercial interest(s).

Tushar Vachharajani, MD, FASN, FACP
Chief, Nephrology Section
W.G. (Bill) Hefner VA Medical Center
Salisbury, NC
Disclosure: Consultant for Fistula First Breakthrough Initiative and Advisory Board Member for American Society of Nephrology, ISN and ASDIN.

Kalyana Janga, MD, FASN, FACP
Associate Director
Maimonides Medical Center
New York, NY
Disclosure: No financial relationships with commercial interest(s).

Polly Gerber Zimmermann, RN, MS, MBA, CEN, FAEN
Associate Professor
Chicago City Colleges School of Nursing - Malcolm X Campus
Chicago, IL
Disclosure: Has no financial relationships with commercial interest(s).

Available Credit

  • 1.50 AMA PRA Category 1 Credit™
  • 1.50 ANCC Dialysis Technician Contact Hours
  • 1.50 ANCC Nurse Contact Hours
  • 1.50 Attendance

Accreditation Period

Course opens: 
08/25/2015
Course expires: 
08/25/2017

Price

Cost:
$35.00
Please login or register for a PERC account to take this course.

Required Hardware/software

System requirements can be found here.

Contact Information:

For any questions concerning this activity, please send an email to CMEinfo@kidney.org or call NKF at 1-800-622-9010.

To view NKF privacy and confidentiality policy as it relates to CME/CE activity, please visit http://www.kidney.org/

For additional professional education resources, contact NKF at 1-800-622-9010 or visit https://www.kidney.org/professionals