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Things to avoid x Do not go swimming or submerge your arm in water for at least 48 hours. You can shower without applying a waterproof cover to your arm. x Do not lift anything weighing more than 2kg for 48 hours. x Avoid bumping or laying on your affected arm for 48 hours.
Have patient in sitting or recumbent position with the catheter exit site at or below the level of the heart and the patient's arm extended perpendicular to the body.
Hold the sterile gauze in one hand (ready to put it over the insertion site when the catheter comes out) and with the other hand grasp the hub and main catheter. Gently and steadily pull out the catheter, moving your hand closer to the insertion site as you remove the PICC. Stop pulling if you feel resistance.
It should come out easily. If you feel resistance, stop. If procedure is unsuccessful, stop, cover insertion site with sterile gauze and call the physician.
Tape a sterile dressing over the site and instruct the patient to leave in place for at least 24 hours. 10. Document procedure, including catheter length, outcome and patient's response on the Midline/PICC progress record or other form as applicable.