Who are we? Catchment area of approx 1.5 m people in the Lancashire - - PowerPoint PPT Presentation
Who are we? Catchment area of approx 1.5 m people in the Lancashire & South Cumbria region Hub unit at Preston includes: 28 station dx unit 23 bedded ward & 3 acute dx bay 6 satellite units Home training unit @ Chorley District Hosp
Catchment area of approx 1.5 m people in the Lancashire & South Cumbria region Hub unit at Preston includes: 28 station dx unit 23 bedded ward & 3 acute dx bay 6 satellite units Home training unit @ Chorley District Hosp In 2018 between 550 – 570 Hdx pts/month 129 new pts required HD throughout the yr. Vascular surgeons create AVF in 2 centres
31% 6% 19% 44%
Complications in <2 weeks Post-op Surveillance (n=85)
Failed fistula Infected No surgical f/u No problems
35% 10% 10% 17% 28%
Types of Patient seen in Nurse Led Clinic (n=143)
<2 wks post op Tx Pt HHDX Pt ICHD Pt Unplanned ICHD/HHD
226 33 34 33 11 20 13 8 7 5 5 18 Angioplasty Salvaged Referred to Vascular Surgeon Unable to Salvage RIP before Appointment NAD Flow Rates Surveillance Scan New Needle Sites Patient Refused DNA Other 50 100 150 200 250 No of Patients
62.7% of all referrals angioplastied or salvaged