The nurse is caring for a patient with a peripheral intravenous (IV) line. What should the nurse do during the IV site dressing change to prevent accidental dislodgement of the IV catheter?
a. Stabilize the IV catheter until the tape is in place.
b. Place folded gauze under the IV catheter hub.
c. Wear clean gloves to remove the old dressing.
d. Clean in a circular motion away from the site.
A
To prevent accidental catheter dislodgement, the nurse stabilizes the IV catheter with the non-dominant hand until the agency-approved covering is in place during the IV dressing change. The nurse avoids applying traction or bending the catheter to maintain infection control and the integrity of the catheter. The nurse places a folded 2 x 2–inch gauze pad under the hub to prevent excessive skin pressure from the hub. He or she wears clean gloves to remove the old dressing to prevent self-contamination. The insertion site is cleansed using a circular motion from the center to the exterior of the site to prevent recontamination.
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