Skill Checklists for Taylor's Clinical Nursing Skills: A Nursing Process Approach

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Skill Checklists for Taylor's Clinical Nursing Skills:
A Nursing Process Approach, 3rd edition

Name Date

Unit Position

Instructor/Evaluator: Position

SKILL 15-10

Removing a Peripherally Inserted

Central Catheter (PICC)

Goal:The PICC is removed with minimal to no discomfort to

the patient and the patient experiences no trauma or infection. Comments

1. Verify medical order for PICC removal and facility policy
   and procedure. Gather equipment and bring to bedside.


2. Perform hand hygiene and put on PPE, if indicated.


3. Identify the patient.


4. Close curtains around bed and close the door to the room,
   if possible. Explain what you are going to do and why you
   are going to do it to the patient.


5. Adjust bed to comfortable working height, usually elbow
   height of the caregiver (VISN 8 Patient Safety Center,
   2009).


6. Assist the patient to a supine position with the arm straight
   and the catheter insertion site below heart level. Use the
   bath blanket to cover any exposed area other than the site.


7. Put on gloves. Stabilize catheter hub with your nondominant
   hand. Gently pull back transparent dressing, beginning with
   edges and proceeding around the edge of the dressing. Care-
   fully remove all the tape that is securing the catheter in place.


8. Using dominant hand, remove the catheter slowly. Grasp
   the catheter close to the insertion site and slowly ease the
   catheter out, keeping it parallel to the skin. Continue
   removing in small increments, using a smooth and gentle
   motion (Best Practices, 2007).


9. After removal, apply pressure to the site with a sterile
   gauze until hemostasis is achieved (minimum 1 minute).
   Then apply a small sterile dressing to the site.


10. Measure the catheter and compare it with the length listed
    in the chart when it was inserted. Inspect the catheter for
    patency. Dispose of PICC according to facility policy.


11. Remove gloves. Ensure patient’s comfort. Lower bed, if
    not in lowest position.


12. Remove additional PPE, if used. Perform hand hygiene.

Copyright © 2011 by Wolters Kluwer Health | Lippincott Williams & Wilkins. Skill Checklists for Taylor's Clinical Nursing Skills:

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