Removing an IV Cannula

The removal of an IV cannula may be appropriate in a range of circumstances including:

• at the completion of intravenous fluid therapy
• at the cessation of intravenous medications
• when the patency of the cannula or the integrity of the tissue surrounding the insertion site is compromised by complications such as phlebitis, extravasation, infection and pain.

It is important to assess the integrity of the insertion site within the context of the client considering any potential alterations to the client’s immune and inflammatory responses and to follow facility policies and procedures before removing any IV cannula.

The removal of the IV cannula is an opportune time to provide education to the client regarding ongoing care of the insertion site and the potential changes such as signs of infection, which may arise in the 24–48 hours post removal. Education is particularly important for clients who will need to monitor the site independently upon leaving care and may need instructions on when and from whom to seek assistance if complications arise.