What action is important after removing an IV access device in a patient on anticoagulant therapy?

Applying firm pressure to the site with sterile gauze for 10 minutes is essential after removing an IV access device, particularly in a patient on anticoagulant therapy. Anticoagulants can increase the risk of bleeding, and applying pressure helps to promote hemostasis by aiding in clot formation at the venous site. The 10-minute duration is typically recommended to allow adequate time for the vessel to constrict and for the blood to clot effectively, thereby minimizing the risk of post-procedural bleeding complications.

In cases where the site is not appropriately managed, patients may experience excessive bleeding, which can lead to hematoma formation or prolonged bleeding. Therefore, ensuring firm pressure is applied helps to control any bleeding that may occur as a result of the anticoagulant therapy and the recent IV removal.