IV removal etiquette? - page 3
by pa715 8,488 Views | 26 Comments
Two questions: 1)how to remove IVs without getting drops of blood on patients? 2) Do you always glove your removed IV and then throw in trash? I just feel like I will stick myself doing that.... Read More
- 1Jan 29, '13 by KelRN215Quote from evolvingrnWhen I worked in the hospital, we were told that ALL syringes (including needleless ones- saline flushes, heparin flushes, IV meds, etc) were to be disposed of in the sharps. Their rationale was "the environmental services people will get confused if there are syringes in the trash."you 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.
- 0Jan 29, '13 by sapphire18 GuideQuote from KelRN215Yeah this. And empty med vials too.
When I worked in the hospital, we were told that ALL syringes (including needleless ones- saline flushes, heparin flushes, IV meds, etc) were to be disposed of in the sharps. Their rationale was "the environmental services people will get confused if there are syringes in the trash."
- 0Feb 4, '13 by IVRUSAlways hold a 2x2 or a 4x4 gauze over the insertion site, but do NOT apply any pressure to the site until the IV catheter has been removed. Do not use Alcohol to d/c the line as it burns and promotes bleeding. Do not use a cotton ball to hold at the site as its fibers will stick to your pt's wound once the clotting cascade has been achieved. Also, always pull out the catheter flush with the skin. Do NOT pull out at an angle as this can set your patient up for what is called, "Discontinuated Mechanical Phlebitis" as the tip scraps the smooth Tunica Intima on removal. Pressure should be applied immediately once the ONC has been removed and this pressure should continue till the clotting cascade is complete ~
2-6minutes. Remember this can be upward of 6 minutes secondary to medications/disease processes. Tell the patient if he or she experiences any pain or itching or the gauze pad becomes saturated within the first 24 hours then you need to be contacted. The pad should remain in contact with the skin, and covered with tape for 24 hours. Once the ONC is removed, while one hand is holding pressure, the other should be ascertaining that the same length that went in, came out, and that to the "naked eye" there are no jagged edges. And that is how I'd chart it.
- 1Feb 4, '13 by OCNRN63Quote from bagola22Use gauze, hold pressure, throw away in biohazard bin, not sharps bin. Sharps bin is for sharps only, biohazard bin is materials contaminated with blood and other body fluids.. If you keep stuffing gloves and dressings in the sharps bin, you have to replace them more frequently, = more cost for the hospital.use gauze, hold pressure, and throw it in the sharps bin
- 0Feb 5, '13 by canned_breadAs I remove the cannula, I put gauze over it. Kind of slide it over the area as I slide out the cannula. That way pressure is also on the area immediately which is particularly important for patients on anti-coagulants. They can bleed heaps!!!
I place the cannula immediately into a kidney dish and then take that kidney dish to the sharps bin. Two reasons: the glove is not meant to really go into the sharps bin, and it seems slightly dangerous to invert the glove. One time I forgot the kidney dish, so I did invert the glove as the sharps bin was metres away and the policy is not to carry a cannula in your hand across a room!