UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION
CLINICAL POLICY AND PROCEDURE
TITLE: REMOVING A PERIPHERAL INTRAVENOUS ACCESS DEVICE
Effective Date: September 2012 Approval: See Authorization
Supersedes Protocol: None Contact: Clinical Staff Education
PURPOSE: To provide guidelines for the safe removal of a peripheral intravenous (PIV) access device at
UWMF and DFM Clinics.
POLICY: The R.N. staff will utilize the following guidelines to remove a PIV access device from adult and
The L.P.N., only after being certified in PIV skills, under the direction of the R.N. or provider, may remove a
PIV access device from adult and pediatric patients. However, the responsibility for any part of this procedure
remains with the supervising R.N. or provider.
SUPPLIES: Provider’s order, Small gauze pad, Tape, Bandage, Patient’s Record
1. Check provider’s order and clarify any inconsistencies in the order.
2. Wash hands and gather supplies.
3. Identify patient, including patient’s full name and date of birth.
4. Provide privacy and explain reason for the removal of the IV and what to expect during procedure.
5. Have patient sit or lie in a comfortable position while the IV is being removed.
6. Put on disposable gloves.
7. Clamp IV line to stop flow of IV fluid.
8. Gently remove dressing from IV site and from around hub of IV device.
9. Apply gentle pressure at hub of IV device with gauze pad, while pulling out IV catheter.
10. Hold gentle pressure on IV site until hemostasis is achieved.
11. Apply tape over gauze pad or bandage over insertion site.
12. Remove all equipment and dispose in proper manner.
13. Remove gloves and wash hands.
14. Documentation (Progress Notes in HealthLink)
How patient tolerated procedure
WRITTEN BY: Ronnie Peterson, R.N., M.S., Manager of Clinical Support
REVISED BY: Carol Decker, RN, MSN, Clinical Staff Educator
REVIEWED BY: LaVay Morrison, RN, BSN, Clinical Staff Educator
Rebecca Harrison, RN, TL, East Towne Urgent Care
Kowalak, J. P. (Ed.). (2009). Lippincott’s nursing procedures (5th ed.). Ambler, PA: Lippincott Williams & Wilkins.
Perry, A.G. & Potter, P.A. (2002). Clinical nursing skills & techniques. (5th ed.). St. Louis, MO: Mosby.
Perry, A.G. & Potter, P.A. (2009). Fundamentals of nursing. (7th ed.). Hall, A. & Stockert, P.A. (Eds.). St. Louis, MO:
AUTHORIZED BY: Richard Welnick, MD, Medical Director, UWMF Ambulatory Clinic Operations
Sandra A. Kamnetz M.D., Vice Chair, Department of Family Medicine
Medical Director, UWMF
Vice Chair, Department of Family Medicine