The vascular access team and the critical care trained nurses at my hospital retouinely remove PICCs and CVCs in accordance with INS procedure. We have not removed temporary (nontunnelled) hemodialysis catheters. I couldn't find the rationale for not removing them so I asked some nurses who would have some historical knowledge. They spoke of the cather large bore size and the need to hold pressure for a greater period of time. The rationale was that it tied the nurse up longer than when removing a CVC or picc, so the MD's were only allowed to remove them. Is this outdated or is there any evidence that anyone can point me to? We don't have dozens of them but we do get them and there is now controversy over whether the RN should remove them or not.