Tick Removal

 

Step 1: Health history and physical exam of the site

Step 2:  Wash hands, don gloves

Step 3: Cleanse the area with chlorhexidine

Step 4: Grasp the tick

Use a hemostat or tweezers to grasp the tick as close to the embedded site as possible. Avoid squeezing or crushing the tick.

Step 5: Remove the tick

Apply steady traction upward and perpendicular to the skin. Twisting counter clockwise may facilitate removal.

Do not twist the tick or use a jerking motion as this may cause the mouth-parts to break off and remain embedded in the skin.

 

Retrieved from https://www.cdc.gov/ticks/images/removal-ab.jpg

Step 6: Assess site for remaining tick mouth-parts

Thoroughly clean the bite area with soap and water. If tick mouth parts are left behind, a biopsy or excision may be necessary.

Step 7: Dispose of the tick

Dispose of the tick by flushing it down the toilet, placing it in a sealed container, wrapping it tightly in paper, or putting it in rubbing alcohol. Never crush a tick with your fingers.

License

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Advanced Procedural Skills Copyright © 2018 by Brittany Stephenson NP, BScN, MN is licensed under a Creative Commons Attribution 4.0 International License, except where otherwise noted.