When removing needles from an internal access, the needle should be _________ before removal from the patient's access.

When removing needles from an internal access site, engaging the needle is essential prior to the removal process. Engaging the needle ensures that the blood flow is properly managed and minimizes the risk of complications, such as bleeding or hematomas, during the transition out of the access point. This typically involves activating a mechanism that may maintain the access in a secure state while ensuring that any residual blood is contained and managed appropriately.

After ensuring proper engagement, the needle can then be smoothly and safely withdrawn, decreasing the likelihood of discomfort for the patient and ensuring that the integrity of the access site is preserved. This step is crucial in maintaining patient safety and compliance with best practices in vascular access management.