Need tips on removing IV

SouthernLPN2RN, MSN, RN, APRN, NP · Jul 18, 2006

I just started working in an outpt surgery center. I remove iv's all day. What are some tips to reduce bleeding at the site? It seems a lot of pt's even after holding pressure still bleed after they get dressed.
Thanks

It's possible that the movement of getting dressed causes increased bleeding from the site. Can you seal the jelco until after pt is dressed then remove it? Or hold pressure a little longer. I usually make a pressure dressing even if the site isn't bleeding.

vamedic4, EMT-P · Jul 19, 2006

I just started working in an outpt surgery center. I remove iv's all day. What are some tips to reduce bleeding at the site? It seems a lot of pt's even after holding pressure still bleed after they get dressed.
Thanks

Pressure, pressure pressure...firm pressure on the site for longer, and a pressure dressing, perhaps a 4x4 with tape instead of just a band aid or 2x2.

vamedic4;)

still suffering in the Texas heat

dfk, RN, CRNA · Jul 30, 2006

also hold site above level of the heart.. helps diminish flow/velocity/pressure

our facility allows us to staple the sites with love if pressure doesn't work..

yes, love, not metal...

poor joke, yes...

suzanne4, RN · Jul 30, 2006

No alcohol pads when pullign the catheter out. Only causes even more bleeding.

Pressure, pressure, pressure.

Binkey, BSN · Jul 31, 2006

Erwende,

A couple of things may help in addition to what other post have already stated;

1. Make sure that when you are removing the IV catheter that you remove it flush with the skin. Do not hold it up at an angle.

2.Remember the clotting cascade... It takes 2-6 minutes for blood to clot with the variances being medications that the pt is on, and disease processes.

NeoNurseTX, RN · Oct 12, 2006

Have them get dressed and then take out their IV as the last thing you do - that way moving around to dress won't bother it.