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[Music] welcome my name is Daphne Broadhurst Im a nurse and clinical specialist with medical pharmacies and OMS Im going to show you how to remove a PICC in the safety and comfort of a patients home be sure to follow your own organizations policy the protocol that Im going to be using is one that was developed in collaboration with various nursing agencies in the community Im going to start with showing you how to actually remove the PICC and then well go over some of the practice consideration points that you need to keep in mind when youre doing this procedure this protocol follows a local guideline and is intended as a guide only you must take into consideration patient factors such as allergies conditions as well as local policies you need to assess the appropriateness of the removal for your patient such as the treatment is completed consider if theres any contraindications for removal in the home be aware of your organizations contraindications such as those seen on th