Greetings!
Are there any recommendations relating to the insertion of a PICC when an IJ or subclavian line is already in place ( PICC to replace said line) Should it be removed before the PICC is inserted or can it be removed after? I do have concerns about removing line after PICC is in, but there is a niggling concern about removing one access device before a new one is inserted. Can anyone offer any insite?
Thank you!
Kerry McDonald
there is no guidance from standards, etc about this so it is really a judgment call. Most of the time, my choice was insert PICC, then remove CICC, then get the xray if ECG now used. Removal of the CICC can cause PICC tip to migrate.
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,
that is what I have been doing, glad to know you concur.
With thanks,
Kerry
K. McDonald RN, CVAA(c)