enous Needle Dislodgement (VND) occurs when a venous needle dislodges from a patient vascular access during
hemodialysis treatment. VND has the potential to cause significant blood loss in a short period of time. Consequently, it is
responsible for serious injury and mortality to dialysis patients and thus, negatively affect the entire hemodialysis spectrum of
care. The presentation discusses the severity of VND and its ramifications to patients, health care workers and clinic facilities.
Additionally it will discuss a compilation of best practices and other solutions to mitigate morbidity and mortality associated with
VND among hemodialysis patients in clinic settings.
Michael Morales, CHT, CCHT-A, CCNT, CBNT is a CEO of Dialysis Education Services; an interdisciplinary dialysis education facility in Bellflower,
California. He currently serves as presidential advisor to the board of nephrology examiners nursing and technology (BONENT), co-chair to the
California Dialysis Council Education and Program Committees and advisory board member to the Centers Disease Control Infection Control in
Outpatient Hemodialysis Settings Program. He frequently presents on topics related to dialysis education to hospitals, dialysis associations, and
related businesses. His motivation is to train and inspire the next generation of dialysis caregivers to provide the best in class care to dialysis
patients. His driving force stems from serving as caregivers at a young age to a close relative on dialysis for 17 years.
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