Is it a recommended practice to remove midlines that are placed at another facility or hospital on admission?
No, that is not in any guidelines. Every patient with a VAD placed outside your facility requires a thorough assessment of the external catheter, dressing, skin integrity, securement method AND lumen patency. Removal of any VAD is done for 2 reasons - unresolved complication or end of therapy. Admission to a new facility is not a reason for removal.
Lynn Hadaway, M.Ed., RN, NPD-BC, CRNI
Lynn Hadaway Associates, Inc.
PO Box 10
Milner, GA 30257
Office Phone 770-358-7861
Thank you as always Lynn!