September 7, 2011 by dailybolusoflr
Removal of a PICC line
Occasionally patients will present to the ED for non-emergent procedures, such as removal of their long overdue PICC line.
Removing a PICC line is easy and can be accomplished by the following:
1. Cut the sutures
2. Gently pull back on the PICC without exerting pressure over the insertion site (If you encounter resistance, you may have induced spasm of the vessel. In this situation, you should relax traction and wait 30-60 seconds. If you still encounter resistance, you can also consider a heating pack to help relieve spasm of the vessel. If it still doesn't pull back, you should not continue with the procedure!)
3. Remove entire PICC (if you have a procedure note that documents length of the catheter, it is always a good idea to see if the entire cathether is removed! If you don't know the length, eyeball it to see if it appears intact.)
4. Short duration of pressure to insertion site to ensure hemostasis.
5. Bandage for 24 hours. After that, simple wound care can be followed.