We do have policy that requires a CXR for tip verification, and the line must have a blood return. If the tip is in good position with no blood return, we will tPA. If still no blood return, a dye study is required to ensure a patent catheter. I did my own little private study for 2 months that included doing CXR's on any outside line that came into my facility. In two months I had nineteen catheters that had serious problems. I have attached a couple of the CXR's I did for your enjoyment.
Which facility do you work at that has obtain a CXR for lines already in place as part of practice/ policy?
We have at ours as well but have been asked what facilities outside of our organization have as well.. So reaching out
Erika Anderson RN,