Quote from NeedleTape
From your posts, it seems that clinic culture in conjunction with protocol might dictate incidence of dislodgements. Other than the RedSense monitor which is now required by VA dialysis centers, any other safety mechanisms that you might have come across during your practice?
I have to say that I am not impressed with the RedSense monitor. Maybe they have made improvements to it now, but when it was studied in my unit it alarmed for everything!
I have been in hemodialysis for 8 years and have never seen a VND that was not intentional or caused by a patient standing up mid run without making sure there was enough slack in the lines. Maybe this is because I was taught, and have taught all those who came after me, what a serious event this could be. It makes me especially nervous because of the lack of alarms due to VND.
I agree with other posters that the best way to prevent this is to keep the access visible; we also leave the light above the patient on at all times to prevent shadows that may hide the dark color of blood. Proper taping is also a must!