University:
American Career College
Course:
NURS-113 | Beginning Medical/Surgical Nursing
Academic year:

2020
Views:

128

Pages:

1
Author:

Charlee Buchanan

ACTIVE LEARNING TEMPLATE: Nursing Skill Discontinuing a peripheral IV line SKILL NAME____________________________________________________________________________ REVIEW MODULE CHAPTER ___________ Description of Skill Removal/discontinuation of a peripheral intravenous line, either to change sites or to stop IV entirely. Indications 72-96 hours have passed and it is time to change IV sites; IV is no longer indicated; IV loses patency or sterility (signs of inﬁltration, infection, phlebitis, etc) Outcomes/Evaluation Is catheter tip intact; signs of infection, skin breakdown; embolus present/not present; bleeding (problems with clotting) Potential Complications Trauma from improperly removed catheter; clotting does not occure due to blood thinners/anemia; infection; embolus; tip of catheter breaks off before catheter removal; catheter is discarded before labs can be run (in the case of infection); non-sterile scissors are used to cut catheter tip for culture (contamination) CONSIDERATIONS Nursing Interventions (pre, intra, post) Pre: hand hygiene; patient ID Intra: remove tape in direction of IV site, starting with tubing and ﬁnishing with transparent dressing; pull IV back straight, keeping it parallel to the skin Post: apply gauze and ﬁrm pressure 2-3 min (5-10 if client is on blood thinners); inspect catheter tip; check for embolus Client Education Describe process of removal; instruct client on how to hold gauze with ﬁrm pressure if needed Nursing Interventions Notify provider of non-intact catheter tip immediatly; place linen saver under catheter site if excessive bleeding is anticipated; pull tape towards insertion site to avoid injury to the vein; do not apply pressure over insertion site during removal (only after to prevent bleeding); limit movement of embolus by placing a tourniquet high on the IV extremity