A patient says that he doesn't want the nurse to remove the PICC line from his arm because the last time he had one, the doctor told him that it was something that only a doctor can do
Which of the following would be the most appropriate response to this patient? 1. "The nurse practice act for this state includes this skill as a nursing activity and I have been trained on the correct way to remove it.".
2. "I will get the doctor.".
3. "Are you refusing to have the PICC line removed?"
4. "I can talk you through removing it yourself.".
"The nurse practice act for this state includes this skill as a nursing activity and I have been trained on the correct way to remove it.".
Rationale: The nurse has had an expansion of her role and has been trained on the activity. The correct response is to explain that the activity is covered within the nurse practice act and the nurse has been found competent to perform the activity. It is not necessary for the nurse to get the doctor, nor should the nurse confront the patient by assuming the patient refuses to have the line removed. Talking the patient through the procedure to remove the line himself is not a viable safe option.
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