How to remove the needle during infusion

Almost everyone has been to the hospital for an IV drip, and many people would ask someone who is not painful when giving or removing needles to help them. Due to technical issues, some people use incorrect techniques when removing the needle, causing blood vessel damage, which can cause redness and swelling. For some trainee nurses, doing this requires practice. Only by mastering the needle removal technique can you do it without pain. Next, I will introduce to you some needle removal techniques.

1. Traditional needle removal method

Procedure: When removing the needle, the nurse grabs the needle handle with one hand and quickly pulls out the needle, and places a cotton swab above the puncture point with the other hand. While quickly removing the needle, the nurse asks the patient to press the cotton swab above the puncture point with the opposite hand with a little force, and tells the patient to press for 5 to 10 minutes, and then discard the cotton swab by himself.

The disadvantages of using a cotton swab to press the needle eye to remove the needle are:

(1) The needle tip will generate cutting force on the blood vessel wall, and blood vessel damage can release pain-causing factors;

(2) Damage to the vascular endothelium and platelet aggregation can easily lead to the formation of thrombus and hematoma, which is not conducive to the next puncture.

2. Painless needle removal

In clinical practice, when the needle is removed after the infusion is completed, if the operation is not done properly, the patient often feels pain, especially for patients who have been on infusion for a long time, the pain will be stronger. We use a painless needle removal method to reduce the patient's pain and the effect is better.

Procedure: When removing the needle after the infusion is finished, use the thumb and index finger of your left hand to fix the silicone tube under the needle handle, gently peel off the tape that fixes the needle handle with your right hand, and then place your right thumb on the tape covering the puncture point. Do not apply pressure, quickly remove the needle with your left hand, and immediately apply pressure and press the puncture point with your right hand.

Benefits: When removing the needle using the traditional method, the right thumb first presses the puncture point, and then removes the needle, causing the needle to be pulled out under external pressure, causing the needle to irritate the blood vessel wall and skin, increasing the pain. This method reduces damage to the blood vessel wall and allows the needle to be removed without resistance and pain. Easy to operate and hold.

Moreover, there are many methods of pressing for needle removal during intravenous infusion. However, the pressing method, pressing time, pressing area, pressing strength, nurses' sense of responsibility and effective communication between nurses and patients are all related to skin pinhole bleeding and subcutaneous hematoma after needle removal during intravenous infusion. The new improved needle removal method combines the above techniques to effectively avoid adverse factors. The method is reliable and worthy of clinical promotion.

The best time to remove the needle after infusion

The best time to remove the needle is when the liquid in the infusion tube has dripped out and the rate of liquid level drop has significantly slowed down or stopped, so that the patient can receive as much medicine as possible.

Precautions for removing the needle during infusion

The key to removing a needle is “one gentle, two fast, three press”. That is: tear off the tape gently; pull it out quickly; press quickly.

When removing the needle, first slowly separate the tape, leaving only the tape on the needle eye, and remove the needle according to the insertion angle and direction of the needle. After pulling out the needle, press quickly for about 5 minutes. Avoid pulling and pressing at the same time, as this will not only cause pain to the patient, but also easily bring the cotton fibers on the tape into the blood vessels. Also avoid pressing and rubbing at the same time, as this will easily cause the already clotted blood vessels to bleed again.

The needle tip entering the blood vessel should be 0.5 to 1.5 cm higher than the needle hole visible to the naked eye of the skin. In order to better stop the bleeding, the patient should be encouraged to press with multiple fingers to ensure thorough compression. For patients with good coagulation mechanism, we generally require patients to press for 2 to 3 minutes, while for patients with poor coagulation mechanism, they need to press for more than 20 minutes. When the blood at the needle hole has completely coagulated, the patient should be informed not to move the blood vessels forcefully in a rush to avoid bleeding from the needle hole and the formation of subcutaneous hematoma.

Analysis and countermeasures of pain after needle removal during infusion

If the intravenous infusion needle is removed improperly, the patient will feel pain or even bleeding at the puncture point, which will increase the patient's psychological stress.

1. When the needle is removed, the patient may become overly nervous, causing vascular spasm and pain. Therefore, before removing the needle, our nursing staff should provide psychological care, explain the precautions for needle removal, divert the patient's attention, and relax the patient physically and mentally.

2. When removing the adhesive tape, the needle will be displaced and cause pain to the patient. The adhesive tape that fixes the needle should be thoroughly cleaned before removing the needle. When removing the adhesive tape, it should be consistent with the placement direction of the needle handle. The needle handle is generally on the right side, so it is advisable to remove the adhesive tape from left to right.

3. Failure to apply pressure properly after the needle is removed may cause blood stasis and pain. Before removing the needle, the patient must be informed of the precautions during and after the needle removal to reduce the occurrence of blood stasis.