Quote from Da_Milk_of_Amnesia
I worked on a CT step down unit and used to pull cordis with the PTs in a sitting position, usually in a chair. Never had a problem. However, ALOT of the cordis' that were pulled would always have large clots on the end of them if they were not properly maintained. **** happens, I wouldn't sweat it .
You were just lucky. You'll have to admit that your experience is very limited. Give it time...
Curious, I took a quick look on the internet just to see what the general consensus was on line removal. I know what I always do but I wondered if there was an accepted variation on the theme.
In a word? No.
Although clots were mentioned here there is also the possibility of an air embolus. Steps taken to prevent this include having the patient perform a valsalva maneuver during removal and having the patient lie flat or in a slight Trendelenberg angle.
There is no way I would remove a line while a patient is sitting in a chair. Just because people have done it and nothing has happened doesn't mean it should be done.
I've been pulling lines for decades and have always done it the recommended way. Even so, I've seen huge runs of VT when pulling PA caths that had me ready to hit the code button. All resolved spontaneously without intervention but I would have hated to have had those patients sitting in chairs if they hadn't come out of that rhythm on their own.
Yeah, **** happens but some of it is avoidable. It even happens when we do all the right things but when we knowingly take shortcuts and do things wrong and it happens it's unforgiveable.
The OP didn't realize that pulling lines while the patient is upright is poor practice. But I think she's learned a good lesson and she'll do better next time.