QOD 026: Adult CVC removal (Management of Care)

The nurse is precepting a new graduate nurse (GN). The nurse is supervising the GN who is discontinuing a central venous catheter located in a client’s subclavian vein. The client is sitting in a recliner comfortably. The GN has the sterile field set up appropriately, has removed the old dressing and is now ready to remove the sutures. At that moment, the precepting nurse is notified that a client down the hall is vomiting, and a provider is on hold waiting to discuss another client who is going to surgery later this afternoon. The precepting nurse has also just received news of an order for a STAT CBC on the vomiting client. What is the precepting nurse’s next priority?

• To stop the procedure and instruct the new nurse to delay the removal while the precepting nurse obtains the STAT CBC
• To allow the graduate nurse to continue the procedure and leave the room to check on vomiting client
• To allow the graduate nurse to continue the procedure and ask the secretary to transfer the on-hold provider into the room
• To stop the procedure and instruct the new nurse to have the client lie flat before discontinuing the line