How to

How to remove a non-tunnelled central venous catheter

Rationale and key points

This article aims to help nurses to undertake the removal of non-tunnelled central venous catheters (CVCs) in a safe, effective and patient-centred manner. A non-tunnelled CVC is inserted directly into a central vein with its tip usually located in the vena cava or right atrium.

Insertion of a CVC can increase the risk of pneumothorax, haemorrhage, air embolism and infection. Air embolism is a potentially catastrophic, although uncommon, event that occurs as a consequence of air entering the venous system. This can be avoided if the CVC is removed correctly.

CVCs may remain in situ for 10-14 days, and are removed when therapy is completed or as a result of complications.

Reflective activity

Clinical skills articles can help update your practice and ensure it remains evidence based. Apply this article to your practice. Reflect on and write a short account of:

How reading this article will change your practice when removing a non-tunnelled CVC.

Any further learning needs you have identified.

Subscribers can upload their reflective accounts at: rcni.com/portfolio.

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