HHC Health & Home Care Clinical Policy And

HHC HEALTH & HOME CARE Section: 9-11
Infusion Therapy: Peripherally Inserted Central Catheter (PICC) Removal _RN
9. After catheter has been removed 1-2", re-grasp near exit
site and repeat procedure until completely removed. If
patient reports severe pain or if abnormal resistance to
removal is assessed, stop procedure, secure catheter and
contact physician.
10. After catheter is removed, apply sterile gauze dressing and
antiseptic ointment to site, and tape in place or apply
transparent dressing. (Application of ointment may occlude
skin tract and prevent air embolism.)
11. Measure the length of the catheter, condition of tip and
compare with pre-insertion length. If length is smaller than
the pre-insertion length, notify physician immediately.
12. Instruct patient/caregiver to assess site every 24 hours until
site is epithelialized.
13. Instruct patient to observe site for:
a. Excessive bleeding or drainage.
b. Extensive bruising.
c. Pain, redness or swelling.
d. Signs and symptoms of infection.
e. Unusual pain or discomfort.
f. Chest pain or discomfort.
g. Instruct patient to leave dressing in place for 24 hours.
If no bleeding or drainage occurs, site may be left open
to air.
14. Discard soiled supplies in appropriate containers.
AFTER CARE:
1. Document in the patient's record:
a. Date, time and procedure performed.
b. Length of catheter removed.
c. Patient's response to procedure, side effects and
management.
d. Instructions given to patient/caregiver.
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