Good Morning,
I have an order to replace a picc that is 10 days old. The rational for the replacement is the starting of TPN. Is this done in other facilities. Any comments are welcomed.
Greg Scott
Good Morning,
I have an order to replace a picc that is 10 days old. The rational for the replacement is the starting of TPN. Is this done in other facilities. Any comments are welcomed.
Greg Scott
As long as TIP re-verification is done, and all new tubing is used (of course), we do NOT change the PICC. No need to put the patient through another PICC insertion if there are no problems with their current one.
Have had no complications or bad outcomes.
Raquel M. Hoag, CRNI
Raquel M. Hoag, BSN, RN, PHN, VA-BC
Hi Greg!
The practice in our facility usually involves - having CXR done to verify PICC tip placement, assessing insetion site( making sure that it is not infected- we do take site culture swab if we note any drainage, change the clave and dressing) and the docs usually order for blood culture from PICC before we dedicate a lumen for TPN. If the result from the blood culture turn out positive , the PICC have to be removed and will be replaced after repeat blood culture/s will be negative(after 48 or 72h). We also consider looking at pt's labs and temperature before inserting a new PICC