What is the first step in accessing a PICC line?

The first step in accessing a PICC (Peripherally Inserted Central Catheter) line is to prepare an IV setup, which typically includes a bag of Normal Saline. This step is crucial because ensuring that the IV setup is ready allows for a sterile and efficient method to deliver fluids or medications through the PICC line.

Preparing an IV setup with Normal Saline ensures that the practitioner has the necessary equipment on hand to flush the line effectively and clear any potential blockages before administering medications. Additionally, it provides a means of using the catheter for fluid resuscitation if needed.

Other options, while they may be a part of the overall procedure, do not represent the best initial step. Removing the protective cap or flushing the line may be necessary, but they should occur after the proper preparation of the IV setup has been completed for optimal safety and efficiency.