IV removal etiquette? - Page 2Register Today!
- Jan 28 by 1pinknurseWhen I dc an IV I get 3 things; an alcohol pad, a 2x2 gauze & a bandaid. I use the alcohol pad to help loosen the tape adhesive. The 2x2 gauze is put on top of the IV site to catch the blood from applying pressure at site, a bandaid is used at the end, in case there is any more blood. The IV cath is thrown into the trash.
- Jan 28 by akulahawkI am like a few others here: I use an alcohol prep pad or two to loosen/remove any tape or transparent dressings. Then when I'm ready to actually remove the catheter, I place a folded 2x2 over the site, apply pressure, and smoothly pull the catheter out while maintaining pressure at the site. This prevents too much blood from leaking out or spraying anywhere. After a little while, I will use a piece of tape or a bandaid to cover the site and prevent further bleeding. I do apply some tension to the tape so that there will be some pressure at the site until the patient takes the dressing off or it falls off on it's own. End result: effectively no bleeding at the site.
I don't worry about sticking myself with the catheter because they're flexible and not sharp. I may hold the cath in a glove and remove the glove over the cath, but that depends upon whether I have to put the cath in the sharps box or if it can simply go in a biohazard trash can instead.
- Jan 28 by iluvivtAll good suggestions but the fact that you may be having a problem tells me that you may not be pulling the tape off well BEFORE you attempt cannula removal. I carefully peel off each side until all the tape is loose then you can have a controlled pull of the cannula.Loosening techniques that have been described are all good. I use skin prep around the insertion site with every start as not only does it protect the skin it makes the dressing removal easier for the patient. I only use a small TSM and then paper tape or hypa fix tape on thin or fragile skin. I do not appreciate it nor do I find the care to be individualized when plastic tape is applied on such skin. I know that is appreciated it when it comes time to discontinue the PIV.
Always pull the cannula out flush with the skin so as not to enlarge the puncture site or damage the vein as both of these can increase bleeding after removal of the cannula.
Elevation of the arm will also slow down the bleeding as well as stopping any continuous infusion a few minutes before you discontinue the cannula. Once in awhile I may use these techniques if I know the patient will most likely bleed a lot and I want to minimize my hold time after discontinuation. You know the type.....pts on Heparin drips with leaky IV sites,pts with very thin skin on Coumadin,pts with low plt counts,pts htat are very bruised,and ACF sites to name a few.
- Jan 28 by evolvingrnI don't throw it in the sharps...........that is so expensive.. apply gauze as you pull out the iv...(i always hold pressure for 30 seconds and then ask the pt to continue holding pressure for about a minute.
- Jan 28 by sofiamcclainI put Dcd iv in a sharp container as well, always put a gauze over an infection site before removing the cath, usually when you remove the iv the leftover blood that might be still in angiocath would be pulled to the tube.( in my case, so no blood drops)
- Jan 28 by **12XY**Ditto, gauze over site as you are withdrawing and hold pressure. And ditto again, there is no needle there, it is plastic only and to thin and pliable to puncture anything.
- Jan 28 by studentnurse9806So should u apply pressure before u remove the iv and then pull out? Or remove then put pressure?
- Jan 28 by sapphire18Well you can't apply pressure before you pull it out or else it won't come out. I put pressure as I'm pulling it out/as soon as the IV is out of the skin. I also put them in the sharps- I was just always taught to do that. Same with flush syringes.
- Jan 28 by imintrouble1) Gauze over the site while removing the cathlon.
2) Dispose in sharps.
I'm not sure where I learned to throw the used cathlon in sharps. I guess it really doesn't need to be. Must be one of those old school things.
- Jan 29 by evolvingrnyou should check your policy that is extremely wasteful to put flushes in a sharps container (think about what a sharps container is for), that was what was the norm when i started at my current place which i thought was weird and they had a mass education about a year ago to stop people from doing that because of the expense.