You were very wise to get a fistula or graft placed before you started dialysis. Now that you have it, here are some tips on how to take care of your access so it keeps working well.

Keep your access clean:

• Wash your access every time before you start dialysis
• Tell your nurse if you notice anything different; for example, if the area of your access is red, feels warm, or if you have had a fever
• Be certain your care givers clean your access with a special solution before inserting the needles

Keep your access clear:

• Your nurse will show you how to check the trill and the bruit of your access.  You should check it every day and tell your nurse if you notice any changes
• Tell your nurse if your hand is cold, numb, blue or painful

Keep your access safe:

• Do not carry anything heavy on your access arm
• Avoid pressure on your arm while sleeping
• Do not wear tight clothing on your access arm
• Do not allow anyone to take your blood pressure or draw blood for labs from your access arm

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