Which condition warrants the immediate removal of a VAD?

Phlebitis or infiltration represents a significant risk to the patient and often indicates complications related to the venous access device (VAD). Phlebitis is characterized by inflammation of the vein, which can cause pain, redness, swelling, and in some cases, the formation of a blood clot. Infiltration occurs when the infused fluid leaks into the surrounding tissue, potentially leading to tissue damage and necrosis.

When either of these conditions is present, it indicates that the VAD is not functioning as intended and poses a threat to patient safety. Therefore, immediate removal of the VAD is warranted to prevent further complications, provide relief from symptoms, and address the healthcare needs of the patient effectively. The urgency of this action is emphasized by the potential for serious outcomes if the device remains in place despite these complications.

In contrast, a patient request does not necessarily indicate a medical need for removal. Scheduled surgery typically does not require immediate removal unless specified otherwise by the surgical team. Regular dressing changes are a routine part of VAD care and do not indicate the need to remove the device.