23.9 Checklist for Discontinuing an IV
Use the checklist below to review the steps for completion of “Discontinuing an IV.”
View an instructor demonstration of IV Removal[1]:
Steps
Disclaimer: Always review and follow agency policy regarding this specific skill.
- Gather supplies: gauze, tape, or a Band-Aid.
- Perform safety steps:
- Perform hand hygiene.
- Check the room for transmission-based precautions.
- Introduce yourself, your role, the purpose of your visit, and an estimate of the time it will take.
- Confirm patient ID using two patient identifiers (e.g., name and date of birth).
- Explain the process to the patient.
- Be organized and systematic.
- Use appropriate listening and questioning skills.
- Listen and attend to patient cues.
- Ensure the patient’s privacy and dignity.
- Assess ABCs (airway, breathing, circulation).
- Prepare the gauze and tape.
- Place the IV clamp to the “off” position (clamped).
- Perform hand hygiene and apply gloves.
- Loosen the edges of the transparent dressing and tape in the direction of the IV site.
- Place a gauze pad over the IV site and gently pull the IV out parallel to the skin in a slow and steady motion.
- Hold pressure on the IV site for 2-3 minutes. If the patient is on anticoagulant medication, you may need to hold for 5-10 minutes.
- Inspect the catheter to ensure it is intact and dispose of it in an appropriate container.
- Remove the gauze pad once bleeding has stopped and assess for any signs of infection at the site, such as redness, swelling, warmth, tenderness, or purulent drainage.
- Tape the gauze or apply a Band-Aid over the IV site.
- Remove gloves and perform hand hygiene.
- Assist the patient to a comfortable position, ask if they have any questions, and thank them for their time.
- Ensure safety measures when leaving the room:
- CALL LIGHT: Within reach
- BED: Low and locked (in lowest position and brakes on)
- SIDE RAILS: Secured
- TABLE: Within reach
- ROOM: Risk-free for falls (scan room and clear any obstacles)
- Perform hand hygiene.
- Document the procedure and related assessment findings. Report any concerns according to agency policy.
- Open RN Project. (2021, November 11). IV removal [Video]. YouTube. Video licensed under CC-BY-4.0. https://youtu.be/z_AQ81whZ98 ↵