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.

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. Carefully 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.