1. Verify the patient's identity:
Before proceeding with the removal, confirm the patient's identity by checking their wristband and asking them to state their name and date of birth. This step ensures that the central line is being removed from the correct patient.
2. Gather all necessary supplies:
Collect all the required equipment, including sterile gloves, sterile drapes, an antiseptic solution, sterile dressings, a suture removal kit, and a transparent occlusive dressing.
3. Perform hand hygiene and put on gloves:
Hand hygiene is critical to prevent contamination. Afterward, don sterile gloves to maintain aseptic conditions during the procedure.
4. Explain the procedure to the patient:
Ensure the patient understands what to expect during central line removal. Address any concerns they may have and obtain their consent.
5. Ensure the patient is in a comfortable position:
Position the patient in a manner that allows easy access to the central line insertion site and minimizes discomfort during removal.
6. Prepare the sterile field:
Create a sterile field using sterile drapes and ensure that all necessary equipment is within reach without compromising sterility.
7. Disconnect all tubing and ports from the central line:
Carefully disconnect any tubes, ports, or catheters connected to the central line.
8. Remove the sutures or adhesive holding the line in place:
Gently remove any sutures or adhesive securing the central line in place, taking care not to cause unnecessary trauma to the skin.
9. Instruct the patient to perform the Valsalva maneuver:
This technique helps prevent air from entering the bloodstream during line removal, reducing the risk of an air embolism.
10. Remove the central line slowly:
Gradually withdraw the central line, monitoring for any signs of resistance or discomfort. Be prepared to respond promptly to any complications that may arise.
