Which statement best describes the overall approach to CVAD removal procedures?

• A. Removal is performed according to institutional policy and nurse's scope of practice.
• B. Removal is restricted to physicians only.
• C. Removal is optional and not governed by policy.
• D. Removal should be avoided whenever possible.

Answer: (A)

Removing a CVAD is guided by institutional policy and the nurse’s scope of practice to ensure safe, consistent care. Hospitals outline who may perform removal, the exact steps to follow, necessary assessments, aseptic technique, securing the site, confirming hemostasis, post-removal care, and proper documentation. This policy-driven approach makes the process standardized and accountable, rather than dependent on individual preference. Removal isn’t limited to physicians in all settings, nor is it optional or something to delay; it’s done when clinically appropriate within approved protocols.