Vascular Access Device Removal Flashcards

What is the main reason daily assessment of central line necessity is emphasized?

Answer: Prompt removal of unnecessary CVADs reduces risk of CLABSI and other complications

Infection and thrombosis risks rise with dwell time, so unneeded lines should be removed promptly.

During removal of a nontunneled CVC, which hand technique is correct after the catheter exits the skin?

Answer: Apply immediate digital pressure with sterile gauze over the site until hemostasis

Immediate pressure controls bleeding and helps seal the tract against air entry.

Which statement about removing a midline catheter is correct?

Answer: The tip terminates in a peripheral vein, but resistance should still never be overcome by force

Midline tips lie in the upper arm veins, yet stretching or forcing the catheter can still cause fracture.

A peripheral IV site shows erythema along the vein, pain, and a palpable venous cord. What is the correct action?

Answer: Remove the catheter, assess and document with a standardized phlebitis scale, and monitor the site

Phlebitis requires catheter removal, grading with a validated scale, and continued site monitoring.

Which documentation element is essential after removing a PICC?

Answer: Catheter length and tip integrity, site appearance, dressing applied, and patient tolerance

Complete documentation includes catheter integrity and length, site condition, dressing, and patient response.

Before removing a nontunneled CVC, what should be done with infusions running through the device?

Answer: Stop all infusions and clamp the lumens

Stopping infusions and clamping prevents fluid leakage and air entry during removal.

What patient education is most important after CVC removal before discharge?

Answer: Report bleeding, shortness of breath, chest pain, or signs of infection at the site

Patients should recognize signs of delayed bleeding, air embolism, and infection.