After checking a pt's access with a Transonic machine,and it concludes a problem with pt's blood flow,should the blood pump on the machine then be reduced to avoid large amt's of "recirculation",until the patient is evaluated by a surgeon?

If your patient has both a low access flow and high recirculation, reducing the pump speed will not help the efficiency of the dialysis treatment unless you can increase the treatment time.

If you only checked recirculation, the problem may be inadvertantly reversed blood lines. In this case you should reverse the lines and check for recirculation in the reversed position. No reciculation or reduced recirculation in this position indicates the lines were originally reversed.

A low access flow reading and no recirculation may indicate a stenosis between the needles.