I attended a workshop given by OHSU last year about RN radiographic confirmation of PICC tip location. During the workshop, the cavo-atria junction was considered the ideal location for PICC tip placement with SVC considered accetable. Where can I find an article to support the cavo-atrial junction as bein ideal PICC tip location? We are in the process of devloping an RN radiographic confirmation competency. It would be benefiicial to have an article supporting the cavo-atrial juction as being ideal tip location before we visit with the radiologists. Thanks for all of your help.
Lynn Hadaway, M.Ed., RN, NPD-BC, CRNI
Lynn Hadaway Associates, Inc.
PO Box 10
Milner, GA 30257
Website http://www.hadawayassociates.com
Office Phone 770-358-7861
Lynn Hadaway, M.Ed., RN, NPD-BC, CRNI
Lynn Hadaway Associates, Inc.
PO Box 10
Milner, GA 30257
Website http://www.hadawayassociates.com
Office Phone 770-358-7861
I attended the radiographic verification class at Savannah last year by Dr Todd Lovelace,MD. He said to find the distal SVC/cavoatrial junction - Identify the angle formed by the shadow of the distal svc and right atrial appendage. A PICC tip located up to 2cm proximal or 2 cm distal to this point will be considered within the distal SVC, The FDA recpmmemded location for a PICC tip. I would like to find this ruling by the FDA. My radiologist will never let me leave past the atrial appendage.
Kris Pruner RN, CRNI
Lynn Hadaway, M.Ed., RN, NPD-BC, CRNI
Lynn Hadaway Associates, Inc.
PO Box 10
Milner, GA 30257
Website http://www.hadawayassociates.com
Office Phone 770-358-7861