The provided reference discusses the removal of an IV catheter, not specifically an IV line from a port. However, both procedures involve similar principles when discontinuing the access point. The following explains how to remove an IV catheter, which can be similar to removing an IV line from a port, with considerations for each type.
How to Remove an IV Catheter (Peripheral)
The reference video describes the removal of a peripheral IV catheter in these steps:
- Prepare: Gather your gauze and prepare to remove the tape.
- Remove Tape: Carefully remove all the surrounding tape securing the IV catheter to the skin.
- Apply Gauze: Place a sterile gauze pad over the insertion site where the cannula enters the skin.
- Slide Out: Gently and smoothly slide the cannula straight out while holding the gauze in place, this provides pressure on the exit point.
How to Remove an IV Line from a Port (Central Line Access)
- Preparation: Make sure you have clean gloves, antiseptic wipes, sterile gauze, and tape. A port is typically accessed with a special needle called a Huber needle, attached to the IV line.
- Hand Hygiene: Always wash your hands and put on clean gloves before handling any part of the port or access needle.
- Antisepsis: Clean the port access site with an antiseptic wipe using a scrubbing motion for the recommended time (usually 15-30 seconds), and allow to air dry.
- Needle Removal: If the needle is in place for a continuous infusion, disconnect the IV line. Place a sterile gauze pad over the insertion site.
- Remove Needle: Remove the Huber needle straight out.
- Pressure: Immediately apply pressure to the site with a clean gauze for several minutes (usually 3-5) to prevent bleeding.
- Dressing: After bleeding has stopped, apply a small adhesive bandage.
- Documentation: Note the date and time of the port access removal.
Key Considerations for IV Line Removal (Catheter or Port)
- Gentle Technique: Always remove the catheter or needle smoothly to avoid trauma.
- Observe for Bleeding: Monitor the site for bleeding after removal.
- Infection Control: Maintain a sterile field to prevent infection.
- Patient Comfort: Be gentle and explain each step to the patient.
- Follow Protocol: Always adhere to your healthcare facility's specific protocol for line removal.
- Professional Training: Removal of a line from a port should ideally be done by trained personnel.
| Step | Peripheral IV Catheter Removal | IV Line from Port Removal |
|---|---|---|
| Preparation | Gather gauze | Gather gauze, antiseptic wipes, gloves |
| Tape Removal | Remove surrounding tape | N/A (not directly applicable) |
| Gauze Placement | Place gauze over the insertion site | Place gauze over needle insertion site |
| Removal | Slide cannula straight out | Remove Huber needle straight out |
| Pressure | Apply pressure with gauze if needed | Apply pressure with gauze for 3-5 minutes |
| Dressing | Apply adhesive bandage | Apply small adhesive bandage |
| Documentation | N/A | Document date and time of needle removal |
