PICC lines, or peripherally inserted central catheters, are commonly used in healthcare settings to provide long-term venous access to clients. Although PICC lines are generally safe and effective, they do require proper removal to avoid complications. This guide will provide instructions on how to safely remove a PICC line.
Preparation
Before removing a PICC line, ensure that you have all the necessary equipment and supplies. This typically includes a PICC line removal kit, which should include a sterile dressing, a sterile gloves, sterile scissors, and a stitch cutter. Additionally, ensure that you are aware of the client's medical history and any relevant allergies.
Cleaning the Site
Prior to removing the PICC line, clean the area where the line was inserted with an antiseptic solution to decrease the risk of infection. Allow the solution to sit for a few minutes before wiping it away with a sterile gown.
Positioning the Client
Ensure that the client is lying flat on their back with their arm extended and secured to prevent any movement during the removal process. If the client is conscious, attempt to relax the arm as much as possible to minimize any discomfort.
Removing the Sutures
If the PICC line is held in place with sutures, carefully cut and remove them using sterile scissors. Be careful not to damage the skin or surrounding tissue.
Removing the PICC Line
With the sutures and any other sutures that may be holding the PICC line in place, gently grasp the PICC line and pulls it straight towards your thumb. Avoid pulling the line in a circular motion as this can cause the skin to roll and increase the risk of infection.
Assessing the Exit Site
Once the PICC line has been removed, carefully examine the exit site for any signs of drainage, infection, or redness. If any abnormalities are present, contact the client's healthcare provider (HCP) for further evaluation and management.
Disposing of the PICC Line
Dispose of the PICC line in a sharps disposal container. Be sure to clean the container with antiseptic solution before discarding the line.
Aftercare
After the PICC line has been removed, apply pressure to the exit site with a sterile gauze pad for at least 30 minutes to control any bleeding. Secure the site with a sterile dressing and document the removal procedure in the client's chart.
Monitoring
Monitor the client for any signs of infection or discomfort for the next 24 to 48 hours following the removal procedure. If any concerns arise, contact the client's HCP immediately.
##Removing a PICC line requires careful attention to detail and adherence to proper technique to minimize the risk of complications. By following the steps outlined in this guide, you can provide your clients with a smooth and stress-free PICC line removal experience.
