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Position Statement - American Nephrology Nurses Association

vascular access for Hemodialysis Patients who have reached Stage 5 of Chronic Kidney Disease (CKD) or end stage renal disease (ESRD) require dialysis or transplant for survival. Patients who require hemodialysis therapy must have a permanent means of access to their bloodstream in order to achieve this life sustaining therapy. It is the Position of the American Nephrology Nurses Association (ANNA) that: CKD education related to creation and maintenance of the hemodialysis vascular access should be made available to CKD patients and their families beginning in Stage 4. Ideally, as soon as the diagnosis of impending progression into Stage 5 is made and need for kidney replacement therapy has been determined, permanent vascular access should be placed.

and intervene for vascular access dysfunction, to enhance long-term access function and reduce the costs associated with maintenance of access patency. • Access surveillance and management is an interdisciplinary team function.

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