What should a PCT regularly assess for a patient with a new arteriovenous fistula (AVF)?

Assessing the presence of bruit and thrill is crucial for a patient with a new arteriovenous fistula (AVF) because these factors indicate that the AVF is functioning properly. A bruit is a whooshing sound heard through a stethoscope that signifies blood flow through the AVF. A thrill is a palpable vibration felt over the AVF site, which also indicates healthy blood flow. Both findings are essential to monitor after the creation of an AVF, as they confirm that the connection between the artery and vein is effective, allowing for adequate access for dialysis.

Monitoring these signs helps ensure that potential complications such as thrombosis or stenosis are identified early. Regular assessment of the bruit and thrill helps the PCT support the overall function of the AVF, which is critical for the patient’s dialysis treatment and vascular health. Other assessments, such as skin color or arm swelling, do play a role in overall care but are not as directly indicative of the function of the AVF itself.