Please assess performance and indicate the degree of prompting for The assessment score each item. for each item may differ from the prompting score for that item. Placement of Incisions Poor Fair Good Very Good Excellent 1 2 3 4 5 NA No concept of Position of Proximal incision functional needs of incision is slightly distal to procedure functional but antecubital crease –graft too short or too not optimal for graft to radial – long exposure of side of arm; loop target vessels length 2/3 of distal to wrist Substantial Some Minimal Direction Direction Direction 1 2 3 4 5 NA Dissection of Vessels Poor Fair Good Very Good Excellent 1 2 3 4 5 NA Disregard for Exposes brachial Excellent superficial veins; artery sufficiently independent injury to brachial for anastomosis dissection of all artery or deep vein with guidance. vessels; mindful Preserves most of plans significant for anastomosis superficial veins Substantial Some Minimal Direction Direction Direction 1 2 3 4 5 NA Suturing Graft Poor Fair Good Very Good Excellent 1 2 3 4 5 NA Sutures from Generally pierces Independently adventitia to intima graft and vessels sews with correct on artery; at 90 degrees needle angle and inappropriate and passes from at the correct thickness/spacing intimal surface orientation of bites out of artery throughout the anastomosis Substantial Some Minimal Direction 2 Direction 4 Direction NA
Please assess performance and indicate the degree of prompting for each item. The assessment score for each item may differ from the prompting score for that item. Placement of Incisions Poor 1 Fair 2 Good 3 Very Good 4 Excellent 5 NA No concept of functional needs of procedure –graft too short or too long Position of incision is functional but not optimal for exposure of target vessels Proximal incision slightly distal to antecubital crease – graft to radial side of arm; loop length 2/3 of distal to wrist Substantial Direction 1 2 Some Direction 3 4 Minimal Direction 5 NA Dissection of Vessels Poor 1 Fair 2 Good 3 Very Good 4 Excellent 5 NA Disregard for superficial veins; injury to brachial artery or deep vein Exposes brachial artery sufficiently for anastomosis with guidance. Preserves most significant superficial veins Excellent independent dissection of all vessels; mindful of plans for anastomosis Substantial Direction 1 2 Some Direction 3 4 Minimal Direction 5 NA Suturing Graft Poor 1 Fair 2 Good 3 Very Good 4 Excellent 5 NA Sutures from adventitia to intima on artery; inappropriate thickness/spacing of bites Generally pierces graft and vessels at 90 degrees and passes from intimal surface out of artery Independently sews with correct needle angle and at the correct orientation throughout the anastomosis Substantial Direction 2 Some Direction 4 Minimal Direction NA
av_fistula.docx