Hi,
very new to HHD. Fistula (upper arm) was placed December 2, 2021. No dialysis until Jan 28th after a heart attack and hospitalization. Anyway, we did HHD training from mid-February to this past week. Buttonhole problems from the start, especially venus. Hard to obtain flashback, lots of pain, some swelling, bruising, high pressures and burning/stinging like feeling at the outer edges of the fistula (the wall I guess). The nurse always has to dig around to get optimal placement and sometimes we get high pressure alarms (mostly on the venus). But many times, treatment went with ok with some alarms. Only once did we have to stop treatment with maybe an hour to go due to super high pressure in venus. But, cannulating problems persist. Twice within the last 7 days the nurse had to abandon the venus buttonhole and use sharp to cannulate above the buttonhole. The pain was horrid. I skipped 1 treatment to give my arm a rest, ice it up and squeeze the ball for exercise. Tried again today, could not get flashback from the arterial, which has not ever happened. I was so disheartened, and scared of continued pain, I cancelled today’s treatment.
I’m going to the center tmrw. But, just wondering if all this is normal for a 3 month old fistula, and is it supposed to hurt this much?? I nearly passed out when the nurse used a sharp to cannulate me on Friday. Is there a less painful way?
thanks in advance-Lawrence
ok i just help a home dialysis PT in Savana GA with the same problem call me at 573-826-8237 i can help you
Ok, I will give you a call later today after I get back.
thank yo
are you back?if you are call me
did i miss your call?
are you there call me 573-826-8237? here is my resume
Stuart Mott
3716 Runningmede Dr
St Charles
573-826-8237
Oct 2021 Retired
SEPT 2021-Oct 2021 Acute Dialysis Bismark North Dakota Stanford Health Care, acute dialysis 6 chairs. contracted cancelled due to broken rib. Now healed ready to return to work
May 2021 to June 2021 to June Pine Ridge reservation in South Dakota. 13 stations 3 shifts Monday through Saturday start time 4am to 4pm. Use of Braun dialysis machine passing meds and other duties assigned by chance Nurse
March 2021 -May 2021 to May Chadron NE Hospital 4pt in center dialysis. Working under RN setting up at tearing down Braun dialysis machine. Taking off and cannula patients. Contact expired
JAN,2020 to MAR,2021 off for coved-19
Nov 2019 to Jan 2020 DCI Albany GA Acute dialysis, Working in acute setting, …starting up tearing down Fresenius machines, work in a 6 station acute room with other RN and LPN, giving meds use of pix drug delivery system machine, and constant monitor of 5 lead tele monitor system. Work also at a local rehab hospital one on one PT dialysis RN present in the same facility, giving meds and working with a pix drug delivery system. Epic computer system, training of new staff members on machine set up, operational aspects and PT care. Teaching Touch cannulation and cushion cannulation technique:
APRIL,2019- to NOV,2020 waiting for travel assignment
Oct 23 - 2017 to April 30 2019 DaVita Acute St Louis MO, Working in acute setting, …starting up tearing down Fresenius machines, work in a 6 station acute room with other RN and LPN, giving meds use of pix drug delivery system machine, and constant monitor of 5 lead tele monitor system. Work also at a local rehab hospital one on one PT dialysis RN present in the same facility, giving meds and working with a pix drug delivery system. Epic computer system, training of new staff members on machine set up, operational aspects and PT care. Teaching Touch cannulation and cushion cannulation technique :
APL,2017 to Sept,017 waiting foe travel assignment±
March 20,2017-OCT 7 2017 DaVita Acute, Springfield and Quincy IL contracted through Quick staffing.
Acute: assisted RN with set up tear down of machines, water checks, cannulation and other as assigned task
.
Pilot Study Wellbound-Houston TX
June 13/2016-Sept/28/2016
Pilot study with the state of Texas, Wellbound, and Accel at Herman Park . Using NexStage machine doing dialysis in rehab centers. This was to show that in rehab was a way to improve turnaround time and faster recover for the PT vs in center. Which it did also cutting cost.
Chronic Dialysis-Tulsa Ok
Feb 22/2016-May /28/2016
36 Station unit 13-week assignment in charge of 8 PT with teck, assessment of PT assigned and passing of meds. Work with Fresenius T-Machines
Chronic Dialysis-Kalamazoo MI
Jan 2016-Feb 2016
Traveling assignment with Fresenius, a 36 station chronic using Fresenius T machines, Transferred to Tulsa OK
Waiting travel assignment NOV,2015 to Jan,2016
Chronic Dialysis – Macon, GA
May 25, 2015 – Nov 2015
26 Station, 26-week assignment traveling. Assign charge Nurse Duty’s with RN on site, working Fresenius T and Pearl computer systems, traveling to and from 4 clinics
Professor of Dialysis with Chair
Stanford-Brown College, Mendota Heights, MN
April 4, 2015 – May 7, 2015,
Started a dialysis program for technician and nurse. Program was in place and college closed. Set up all phases of the course.
Started a dialysis program for technician and nurse. Program was in place and college closed. Set up all phases of the course.
Waiting travel assignment Oct,2014 to April,2015
Chronic Dialysis – Cedar Rapids, IA
June 2014 – October 2014
Chronic 32 Station unit 13 week traveling assignment, Mercy Hospital, multiple buttonhole fistulas and the use of the Wave Technique
Chronic Dialysis – Cedar Rapids, IA
February 2014 – May 2014
Chronic 32 station unit, Vascular Access Nurse, Traveling Nurse Quick Staffing, multiple buttonhole fistulas and the use of the Wave technique
Acute Dialysis – Newman, GA
August 2013 – November 2013
DaVita Acute Dialysis Nurse/Traveling, Quick staffing
Acute Dialysis Piedmont Hospital – Fayetteville, GA
April 2013 – July 2013
DaVita Acute Dialysis Nurse/Traveling Foundation Medical
Dialysis Clinic, Inc., Columbia, MO
October, 2005 – December, 2012
Vascular Access Nurse
Dialysis Clinic, Inc. – Columbia, MO
October 2003 – October 2005
Dialysis Nurse
Travel Nurse
January 2000 – October 2003
Dialysis Nurse in states of Connecticut, Wisconsin, New Mexico, and Illinois
Dialysis Clinic, Inc.- Columbia, MO
May 1995 – January 2000
Dialysis Nurse
Private Duty Nurse
July 1992 – May 1995
Air traffic Controller
July 1966 – September 1981
EDUCATION
October, 1993 – Vascular Access Nurse Dialysis Center, Columbia, MO
August, 1992 – Mexico Public School of Practical Nursing, Mexico, MO
July, 1991 – Rehabilitation Aide, Kansas City, MO
May, 1981 – University of Nebraska, BS in Business Science, BS Admiration
Licensed Practical Nurse (LPN) Current Licensure in the states of Missouri consortium state, Illinois,
Connecticut, Georgia, Montana, Florida, Wisconsin and Oklahoma
PROFESSIONAL MEMBERSHIPS
• 2008 – 2014,2019 American Nephrology Nurses Association (ANNA)
• 2009 – 2014, Council of Nephrology Nurses & Technicians (CNNT)
2019- Council of Nephrology Nurses & Technicians (CNNT)
. 2019—2020 Home Therapies Specialty Practice Network (AMMA)
2008–National Kidney Patient’s ASS
COMMITTEE MEMBERSHIPS
• January, 2010 – January, 2013, Heartland Kidney Network 12, Medical Review, a board member
• October, 2009 – December, 2009, Fistula First Coalition, Patient Self-Cannulation Change Work Group 2019–2020 Home Therapies Specialty Practice Network (ANNA)
PUBLICATIONS
•
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Mott S. & Prowant BF. “Cushion Cannulation” Technique (column). Nursing Journal, 33 (6), 683-684, 2006 -
Mott S. & Prowant BF. The “Touch Cannulation” Technique (column). Nephrology Nursing Journal, 35 (1), 65-66, 2008 -
Mott S. & Moore H. “Cannulation of Upper Arm Fistulas: Limb Position is Everything.” Nephrology Nursing Journal, 36(5), 161-162, 2009 -
Mott S. & Moore H. Using “Tandem Hand Technique” to Facilitate Self-Cannulation in Hemodialysis. Nephrology Nursing Journal, 36 (3), 313-316, 2009 -
Mott S. “The Art of Teaching Self-Cannulation.” Dialysis & Transplantation, Volume 39, Number 7, July 2010 -
Mott S. Memphis Area Fistula First Coalition (MAFFC) Self-Care Pilot. Summer, 2009 -
Ball L. & Mott S. “How do you Prevent Indented Buttonhole Sites?” Nephrology Nursing Journal, (37), 427-428, 2010 -
Mott S. “Putting the Pieces Together for New Patients.” Renal Business Today, Volume 7, Issue 8, November 2012 -
Mott S. “Consideration at Initiation of Cannulation,” Nephrology News and Issues, 26-28 March 2013 -
Mott S “A Kinder, gentler Methods for Scab Removal in Buttonhole access “Nephrology Nursing Journal Sept 201138(5):439-43
Web Pages
• 11. Mott.S & Schatell.D&Patterson.P “Techniques for Self-Cannulation” Nephrology Nursing Journal Sept-Oct 2020 Vol 7 (5)
11.
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Homedialysis.org - Listed as Cannulation Expert with over 660,00 views, 2009- present
ABSTRACTS - Mott S. & Prowant BF. “Touch Cannulation” 14th International Symposium in Hemodialysis, Orlando, FL, March 2-4, 2008
2.Mott S. & Prowant BF. “Cushion cannulation” technique. Printed in handouts for the 2008
Heartland Kidney Conference and Annual Business Meeting, “The Road to Quality Improvement”,
PRESENTATIONS & TEACHING DIALYSIS UNITS - Mott S. Cannulation Techniques and Buttonhole Preservation. Tri-State Dialysis, Dubuque, IA, October, 2007
2.Mott S. Buttonhole Cannulation. Dialysis Clinic, Inc., Jefferson City West, Acute Dialysis Unit, Capital Region Medical Center, Jefferson City, MO, March, 2007
3.Mott S. Buttonhole Cannulation Demonstration Techniques. Dialysis Clinic, Inc., Moberly, MO, November, 2007
4.Ball L. & Mott S. Cushion Cannulation and Touch Cannulation Techniques Demonstration,
Heartland Kidney Conference, “The Road to Quality Improvement”, Westin Crown Center, Kansas City, MO, January, 2008
5.Mott S. “Buttonhole and Touch Cannulation Techniques” 28th Annual Dialysis Conference, Orlando, FL, March, 2008
6.Mott S. Buttonhole, Touch cannulation with emphasis on Tandem Hand cannulation. Dialysis Clinic, Inc., Osage Beach, MO, July, 2008
7.Mott S. In Clinic Demonstration 5-days Cushion Cannulation; Touch Cannulation: Tandem
Hand and Buttonhole Techniques, Broward Kidney Center, Coral Springs, FL, October, 2008
8.Mott S. Using Hand Technique to Facilitate Self Cannulation in Hemodialysis: George R Brown
Convention Center, Houston, TX, March, 2009
9.Mott S. Touch Cannulation with buttonhole Techniques, emphasis on Tandem-Hand cannulation and pre cannulation training. Affiliated Hospitals Dialysis Center, Creve Coeur, St. Louis, MO, April, 2009
10.Mott S. In-services Touch Cannulation, Pre-cannulation Training, and Tandem-Hand Cannulation, Genesis Hospital, Davenport, IA, May, 2009
11.Mott S. Web Cam presentation on Touch Cannulation and Cushion Cannulation for the Kidney School, Medical Education Institution, April, 2009
12.Mott S. Cannulation Technique: home dialysis patients. Renal Support Network, Patient Meeting, St. Ambrose University, Davenport, IA, July, 2009.
13.Mott S. Web cam presentation on pre-cannulation and Tandem Hand Cannulation for the Kidney School, Medical Education Institution, July, 2009
14.Mott S. Presentation of new cannulation methods and team approach for home dialysis Patients. NxStage Home Dialysis Program Area, Oak Brook, IL, September, 2009
15.Mott S. Presentation of new cannulation methods and team approach for home dialysis
Patients. NxStage Home Dialysis Program Area, Maryland Heights, St. Louis, MO, October, 2009
16.Mott S. Best Practices in Vascular Access Cannulation. 30th Annual Dialysis Conference, Seattle, WA, March, 2010
17.Mott S. Cannulation Technique home dialysis patients (Part 2). Renal Support Network
Patient Meeting, St. Ambrose University, Davenport, IA, July, 2010
18.Mott S. Memphis Project, Self-Care Pilot Project (MAFFC). Memphis, TN, August, 2010,
19.Mott S. Custom Cannulation. 20th Annual Renal Symposium, Chattanooga, TN, August, 2010
20.Mott S. VASA Hands-On Practicum on Hemodialysis Access. Washington University Medical Center, St. Louis, MO, May, 2011
21.Mott S. Advanced Cannulation Training in Center. DaVita, Freemont, NE, June, 2011
22.Mott S. Advanced Cannulation and Buttonhole Cannulation Techniques in Center. DaVita, St. Louis, MO, August,2011
23.Mott S. Advanced Cannulation and Buttonhole Cannulation Techniques in Center. DaVita, Rolla, MO, August, 2011
24.Mott S. Cannulation and Pre-Cannulation to Tandem Hand Cannulation: Team Approach to Full-Term Cannulation. Dialysis Centers of Dayton, LLC. Dayton, OH, October, 2011
25. Mott S. Access Survival for the Home Dialysis Patient. NexStage 2nd Annual Conference, New Orleans, LA, October, 2011
26. Mott S. Best Practice in Cannulation, University of Chicago, Chicago, IL, December, 2011
27. Mott S. Hands on Cannulation Technique. 23nd Annual Dialysis Conference, San Antonio, TX, February, 2012
28. Mott S. Art of Teaching Self-Cannulation. National Kidney Foundation 2012 Spring Meeting. Washington, DC, May, 2012
29. Mott S. Heartland Kidney Network, January 31, 2013, Kansas City, KS: “120 We Win: Cracking the Code to Buttonhole Survival”
30. Mott S. National Kidney Foundations Spring Meeting Orlando, FL, April 5, 2012, “Cracking the Code or Buttonhole Survival”
31. Mott S. University of Chicago Oct, 2013 North side unit, One week teaching staff button cannulation
32. Mott S. National Kidney Foundations spring meeting April 22, Las Vegas, NV. “Cannulation
Technique’s” “Importance of the First 90 Day for the dialysis Patient” “Workshop: Using
Critical Thinking to Solving Problems in the dialysis Unit-Ask the Expert”
33. Mott S. Net Work 5, May 8, 2014, Webinar “Cannulation techniques”
Mott S. Net Work 5, June 17, 2014, Webinar “The First 60 days”
34. VASA meeting Chicago Il May11-14,2016 “Prevention of Infection in AV Fistula Buttonhole Access JULY 2009 to DEC 2015”
35. .NANT meeting Las Vegas NV , March 19-22 “2019 Retention of home HD patients” “Training Patients to self-cannulation
37. ANNA area meeting Annapolis Maryland Cannulation Techniques Oct 10 2019
38 Nursing. Virtual 2020 Dec 14 one hour on cannulation technique
Stuart Mott
Vascular Access Nurse
Caring for you and your patients
“Knowledge is only power when you share it. You’re not a leader if you have knowledge and keep it to yourself. After all, when you’re done, the work will go on. But will it go on flawlessly?”
“It will if you give them the knowledge and the tools to do it when you’re not there.”
- Sergeant Major Michele S. Jones