Procedure for removal of a PICC and Midline - Royal Devon ...

PROCEDURE FOR REMOVAL OF PERIPHERALLYINSERTED CENTRAL CATHETER (PICC) AND MIDLINEPost holder responsible for Policy:Directorate/Department responsible for Policy:Lead Nurse/Director of Infection Prevention& ControlInfection Prevention & ControlContact details: Ext. 2355Date written: July 2011Date revised:Approval route (names of committees):Level of Impact Assessment(Screening or Full – attach to policy)N/AInfection Prevention & Control GroupScreeningDate of final approval: 11 th August 2011Date due for revision: August 2013Date policy becomes live: August 2011This document replaces:N/AControlled documentThis document has been created following the Royal Devon and Exeter NHS FoundationTrust Policies, Procedures, Protocols, Guidelines and Standards Policy.It should not be altered in any way without the express permission of theauthor or their representative.Please specify standard/criterionnumbers and tick other boxesas appropriateMonitoring InformationThe Strategic Directions 2007-2012 were agreed by the Board of Directors inOctober 2007 to support the Trust’s vision “Respond, Deliver, Enable”. The KeyMilestones below will ensure there is a shared understanding about what needs tobe delivered.Strategic Directions – Key MilestonesPatient ExperienceWaitingAssurance FrameworkPrivacy and DignityMonitor/Finance/PerformanceEfficiency and EffectivenessCare Quality CommissionDelivery of Care Closer to Home8Outcomes:Infection ControlNHSLA Risk Management Standards for Acute TrustsNHSLA CNST Maternity Clinical Risk Management Standards:Other (please specify):Note: This policy has been assessed for any equality, diversity or human rights implicationsProcedure for removal of a PICC and MidlineApproved by Infection Prevention & Control Group: 11 th August 2011Review date: August 2013 Page 1 of 3

PROCEDURE FOR REMOVAL OFPERIPHERALLY INSERTED CENTRAL CATHETER (PICC) AND MIDLINEThis procedure should be read in conjunction with the Vascular Access Device PolicySection 8.3This catheter can be removed by either nursing or medical staff.Equipment• Clean trolley• Dressing pack• 2% chlorhexidine in alcohol applicator ( e.g. Chloraprep 3ml)• IV Dressing ( e.g. Opsite IV3000 central line dressing)Procedure1) Explain procedure to patient and position comfortably ( NB Trendelbergposition is not required)2) Clean hands:3) Gather equipment required onto clean trolley4) Move to patients bedside5) Clean hands6) Open sterile pack onto trolley without causing contamination7) Put on apron8) Clean hands and arrange sterile area with bag from dressing pack withoutcausing contamination9) Clean hands, open dressing and 2% chlorhexidine applicator onto sterile fieldwithout causing contamination10) Clean hands and put on sterile gloves11) Clean insertion site for 30-60 seconds and allow to dry12) Place one piece of folded gauze over PICC or midline and then gently pull outline until completely removed. (If resistance felt then stop and contactVascular Access Team)13) Apply pressure with gauze for 2 minutes14) Apply dressing over gauze and advise patient to keep it on for at least 24hours.15) Examine the PICC to make sure all is removed. Report any discrepancyimmediately to medical staff.16) Remove gloves and apron.17) Dispose of waste and clean hands.Procedure for removal of a PICC and MidlineApproved by Infection Prevention & Control Group: 11 th August 2011Review date: August 2013 Page 2 of 3

18) Document procedure and inform Vascular Access Team of removal.Procedure for removal of a PICC and MidlineApproved by Infection Prevention & Control Group: 11 th August 2011Review date: August 2013 Page 3 of 3