What should be done immediately after removing a PICC line to prevent air from entering the patient and to control bleeding?

• A. Apply pressure to the site with sterile gauze.
• B. Inspect the catheter tip to determine that it is intact.
• C. Apply antiseptic ointment to the site.
• D. Remove any sutures.

Answer: (A)

When a PICC line is removed, the puncture site is an open venous entry that can bleed and, if the wound remains open, air can be drawn into the circulation. The immediate step is to apply direct pressure to the insertion site with sterile gauze. This focuses on two things at once: it quickly compresses the vessel to form a clot and it creates a physical seal that helps prevent air from entering the vein. After the bleeding is controlled, secure a sterile dressing over the site and monitor for continued bleeding or swelling. While other actions like inspecting the catheter tip, applying antiseptic ointment, or removing sutures have their own roles in care, they do not address the urgent need to stop bleeding and prevent air entry right after removal.