How should a nurse respond to an inadvertent catheter dislodgment?

When responding to an inadvertent catheter dislodgment, re-establishing IV access and monitoring for complications is crucial for maintaining the patient's safety and ensuring that they continue to receive needed medications or fluids. Dislodgment can lead to serious issues such as infiltration, extravasation, or loss of access, particularly if the patient requires ongoing therapy.

By promptly re-establishing IV access, the nurse minimizes the risk of complications that can arise from a lack of venous access. It is essential to monitor the site for any signs of complications, such as swelling, color change, or pain, which could indicate issues like phlebitis or infiltration.

In this context, changing the dressing immediately may not be the priority unless it is necessary due to bleeding or contamination, and ignoring the dislodgment altogether could put the patient at significant risk. Calling for assistance can be appropriate in certain situations, but it should not delay the establishment of new access if the need is urgent. Thus, re-establishing IV access while monitoring for complications is the most comprehensive and effective response.