* Upon removal of the CVC, Universal precautions must be maintained to avoid contamination of the health care worker through exposure to blood borne pathogens.
* Aseptic technique is used at the insertion site to decrease chances of infection to the patient.
* Dressing is to remain in place 24-72 hours according to lenght of time that catheter was in place.
* Observe patient post removal for the following i.e S&S of bleeding, air embolism or infection of at the site.
OUTCOMES:
* The patient will experience no infection through contamination of the CVC site during his or her stay in LBH.

EQUIPMENT: Sterile dressing pack Air occlusive dressing i.e. tela gauze with antimicrobial ointment
Hibitane solution one pair sterile gloves
Rubbish bin Sterile jar to collect catheter tip is infection is suspected
Stitch cutter for removing sutures Sterile scissors

PROCEDURE:
* Explain the procedure to the patient prior to procedure.
* Aseptic preparation prior to commencing procedure.
* Prepare dressing pack at bedside prior to positioning patient.
* Turn off all infusions
R : 32.1

* Place patient in Trendelburg or supine position.
* Instruct patient to preform Valsalva maneuver or to hold breath on command.
* If tip of catheter to be sent for cultures have sterile equipement ready.
* If tip to be cultured prep skin around site with aseptic solution and remove catheter at 90 degree angle
* Remove suture holding in CVC while insuring CVC does not accidently migrate out. Ensure all suture material has been removed.
* As catheter is removed ask patient to preform Valsalva maneuver or to hold breath.
* Immediately cover area with sterile guaze to apply pressure to area.
* Cover the site with occulsive drsging while patient is still reforming Valsalva maneuver.
* Reposition patient.
* Chart that central line has been removed time, date and condition of catheter. Chart type of catheter removed. Chart condition of patients skin i.e. swelling, redness or discharge.

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