I am interested to know what everyone is doing or should be doing when a PICC slowly migrates out during dressing changes etc. We do a new CXR when a patient is admitted to the hospital with an existing PICC line. On occasion we find that the line has migrated out several centimeters and no longer in the lower SVC/CAJ. Sometime, it's even migrated to the junction of the brachiolcephalic and SVC. Currently, we let the provider know the location to make a determination in regards to length and type of treatment needed. We encourage replacement in any Chemotherapy or TPN administration. My question is are there any quidelines that speak to this?