Nurses Competence Regarding Vascular Access Care in Dongola Renal Center -2017

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 )