Which statement correctly describes who can remove PICCs and non-tunneled central venous catheters?

Which statement correctly describes who can remove PICCs and non-tunneled central venous catheters?

• A. Nurses with demonstrated competency can remove PICCs and non-tunneled central venous catheters.
• B. Only physicians may remove CVADs.
• C. Only patients can remove CVADs.
• D. CVAD removal is not restricted by credentialing.

Answer: (A)

Removal of PICCs and non-tunneled central venous catheters is determined by credentialing and demonstrated competency, not by the device itself. When a nurse has completed the required training, demonstrated safe removal technique, and is authorized by facility policy, they can perform the removal at the bedside. This approach supports timely care and patient safety, provided the nurse follows sterile technique, confirms there are no contraindications (such as signs of infection requiring alternative management or potential catheter fragments), ensures proper hemostasis after withdrawal, and documents the procedure. If a clinician is not credentialed to remove CVADs, or if there are complications or uncertainties (for example infection with need for culture, suspected catheter fracture, or difficult removal), a physician or advanced practitioner should perform or supervise the procedure.

Removal of PICCs and non-tunneled central venous catheters is determined by credentialing and demonstrated competency, not by the device itself. When a nurse has completed the required training, demonstrated safe removal technique, and is authorized by facility policy, they can perform the removal at the bedside. This approach supports timely care and patient safety, provided the nurse follows sterile technique, confirms there are no contraindications (such as signs of infection requiring alternative management or potential catheter fragments), ensures proper hemostasis after withdrawal, and documents the procedure. If a clinician is not credentialed to remove CVADs, or if there are complications or uncertainties (for example infection with need for culture, suspected catheter fracture, or difficult removal), a physician or advanced practitioner should perform or supervise the procedure.