Which step is performed last in the proper discontinuation of IV access?

• A. Wear gloves
• B. Explain procedure
• C. Remove IV site dressing and tape
• D. Clean the site, withdraw the catheter, and apply pressure

Answer: (D)

Discontinuing IV access safely hinges on controlling bleeding and keeping the site clean. After you’ve explained the procedure, performed hand hygiene, and put on gloves, and after you’ve exposed the insertion site by removing the old dressing and tape, the final actions are to clean the skin, gently withdraw the catheter, and apply direct pressure over the site. Cleaning helps reduce the chance of introducing bacteria during removal, and applying pressure stops bleeding to prevent hematoma and promote hemostasis. Once bleeding is under control, you’d typically follow with a dressing as needed.

The earlier steps are about preparing the patient and ensuring aseptic technique and visibility of the site; they set up for a safe removal, but the actual last actions—cleansing, withdrawing the cannula, and applying pressure—wrap up the procedure by securing the site and preventing complications.