有良好功能之血管通路是血液透析品質的重要指標，若血液透析管路置入術的照護不佳，會耗費醫療資源及影響照護品質。2008年9至10月查核發現護理人員對血液透析管路置入術病人照護之完整性僅53.47%，經分析發現單位缺乏血液透析管路置入術照護之作業指引；護理指導單張繁複，內容不一，未能明確選擇適當之指導單張。透過「血液透析管路置入術病人照護藍圖」的製作及執行；整合及修訂護理指導單張；建立血液透析管路置入術照護完整性之稽核制度。2008年11月至2009年3月完整率提升至92.44%，不僅護理照護品質獲得改善，也強化病人及照顧者之照護能力，提升病人、照顧者及護理人員之滿意度。

The vessel tube is one of the important indicators of care quality in HD. Poor care leads to the waste of medical resources and affects the quality of care. We found that the total care rate for tube insertion in HD was 53.47% from Sep. to Oct. 2008. Our analysis revealed that there was a lack of operation guidelines: nursing instruction sheets were too complicated, containing contradictory information, and not available in wards. We created "The Blueprint of Patient Care for Tube Insertion in HD Patients". We saw that nursing instruction sheets were reorganized and revised. We built up the check-up system to improve total care for tube insertion in HD. The total care rate for tube insertion in HD was 92.44% from Nov. 2008 to Mar. 2009.We not only ameliorated the quality of nursing care and increased the caring ability of patients and health care-providers, but also upgraded the satisfaction rate of patients, health care-providers, and nurses.