Set of maneuvers performed by the nurse to remove a central venous catheter after completion of treatment or when there is extravasation, obstruction or phlebitis.
Objective:
To prevent complications when removing the central venous catheter.
Equipment:
– Cure trolley or trolley. – Sterile scissors. – 1 sterile dissecting forceps. – Sharps container.
Material:
– Non-sterile gloves. – Sterile dressings. – Scalpel blade. – Sterile glass with lid. – Sterile swab. – Sterile gauze. – Antiseptic solution. – Hypoallergenic plaster. – Nursing records.
Procedure:
– Perform hand washing. – Prepare the necessary material. – Preserve the patient’s privacy. – Inform the patient of the procedure to be performed. – Ask for the patient’s cooperation. – Place the patient in a comfortable position according to the CVC area. – Proceed to alcoholic hand disinfection. – Put on non-sterile gloves. – Close the infusion set if any. – Remove dressing. – Observe puncture site for signs of infection. – Clean puncture site with antiseptic solution with circular movements from inside to outside.
– Remove stitches, if any. – Remove the catheter. – Press for 5 minutes and if the patient has coagulation problems or is on anticoagulant treatment for 10 minutes. – Place sterile dressing. – Discard the sharps in the container intended for this purpose. – Collect the material. – Leave the patient in a comfortable position. – Remove gloves. – Wash hands. – Record in the nursing documentation: procedure, reason, date and time, incidences and patient’s response.
Observations:
– Send the catheter tip to microbiology if there are signs of infection: insert the tip into the sterile vessel and cut with sterile scissors. Cap and label the bottle. – If there is purulent exudate send a swab to microbiology.
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