Use these tools to improve cannulation: 

Cannulation of New Fistula Policy and Procedure

 Staff Cannulation Competancy Tool 

Clinical and organizational recommendations based on best practices for increasing AV fistula use and improving hemodialysis patient outcomes.

The Clinical Care module of the ESRD Toolkit summarizes why proper clinical care is important in preventing vascular access infections, explains practices staff members can follow during site access to reduce infection risk, and describes ways to evaluate infection control practices at a facility.

http://www.ahrq.gov/professionals/quality-patient-safety/patient-safety-resources/resources/esrd/clinicalcare.html

This article reviews the basic skills needed by all dialysis staff to correctly cannulate an AV fistula or AV graft. Access site determination and preparation, needle placement and direction, and various cannulation techniques are explained and supported by illustrations.