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Heather Nichols
Shaving for a PIV

   I have been told that shaving a site for a PIV is a no-no due to microscopic abrasions made by the razor.  Does anyone know off hand if there are any studies to support this?  I am busy today and do not have time to surf.  Thanks for any and all info.


INS standards cover this;

INS standards cover this; I've listed a partial list below - and the references they use under that. 

INS SOP 39.1  Hair removal shall be performed in a pmanner that preserves skin integrity.

a.  Hair removal should be performed with scissors or electric clippers

c.  Shaving should not be performed with a razor because of the portential for causing microabrasions, which increase the risk of infection.

The references listed include the 2002 MMWR on Prevention of IV CR infections, and:

Association of perOperative Registered Nurses.  Recommended practices for skin preparation of patients.  AORN J. 2002;75(1):184-187

from same org'n - Standards, Recommended Practices and Guidelines. Denver AORN; 2004

Kjonniksen I, Andersen BM, SondenaaVG, Segadal L. Preoperative hair removal: a systematic literature review.  AORN J. 2002;75(5):928-934, 936, 938

Mew PA. Establishing and maintaining a sterile field.  In: Phippen ML, Wells MP, ed.s Patient Care during Operative and Invasive Procedures.  Philadelphia:  WB Saunders; 2000:61-93.

Perucca R. Obtaining vascular access.  In: Hankins J, Lonsway RAW, Hedrick C, Perdue MD, eds. Infusion Therapy in Cliniical Practice.  2nd ed. Philadelphia:  WB Saunders; 2001:375-388 


Mari Cordes, BS RN 

Nurse Educator IV Therapy
Fletcher Allen Health Care, Burlington VT
Educator, Bard Access Systems 

Mari Cordes, BS RNIII VA-BC
Vascular Access Department
University of Vermont Medical Center

This has also been included

This has also been included in the CDC guidelines since the very first edition. Lynn 

Lynn Hadaway, M.Ed., RN, BC, CRNI

Lynn Hadaway, M.Ed., NPD-BC, CRNI

Lynn Hadaway Associates, Inc.

PO Box 10

Milner, GA 30257


Office Phone 770-358-7861

Heather Nichols
   Thank guys!  You

   Thank guys!  You rock!



karen ray
Heather, I just ran into the


I just ran into the same issue where a physcian wants a change to the policy.

We have a patient with a beard and an IJ. I surfed around and found something under Infusion Therapy, IV peripheral Cannulation Guideslines. March 2008.

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