Help!!! Our central line policy states the tips should be in the svc. It does not say cavo-atrail junction. I was OK with that for those situations where catheters cannot be placed exactly for some reason.... Meaning if you have a policy that states cavo-atrial junction and leave a catheter in the svc above that point.... you are open to problems legally. In going to our PI hospital based committee I brought to their attention that we have issues with adherence to the current policy of SVC and asked them to put more "teeth" in the process for when there is noncompliance. Instead they decided we should change to "great vessels" to allow for leaving tips in other locations when the risks out weigh the benefits of recannulating a patient.
My question for all of you is-- what does your policy say and what is actually happening? Are there situations where you do leave catheters in patients in other than the SVC?