Using 'Tandem hand' technique to facilitate self-cannulation in hemodialysis.

Self-cannulation has been shown to decrease complications and extend the life of the arteriovenous fistula. Teaching self-cannulation has been difficult due to patient distress created by the use of needles. This article discusses a technique that has been used in the authors' clinic to teach self-cannulation to incenter patients. The observed use of this technique has helped create a comfortable environment for the patient.