At my organization nursing does not pull tunneled lines and it says this in our policy. I heard that IR has used PICCs and tunneled them. The debate here is whether the tract denotes tunneling or cuff . If so should we then call it a tracted PICC line indicating it is a non-cuffed tunneled line and can be pulled by nursing (education would be required of course) ? I am also not sure if IR really used a Powerline and everyone called it a PICC. It was IJ placed so it could be a true PICC. Does anyone use any special terminology to distinguish these other than tunneled PICC? Nurses here only know they can't take out tunneled lines and the Powerline looks alot like our Power PICC. Also does anyone know the rationale for tunneling the PICC versus just placing a a non-tunneled CVC or using a cuffed CVC at the IJ?