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Anthony Coddington
Chemotherapy via midline/long lines
  • I would appreciate sharing of experience/practice.........A few physicians have given the order to infuse chemotherapy agents/vesicants through PICC's with their tips terminating in areas other than the lower SVC (i.e. subclavian or proximal SVC).   Has anyone had similar experience?  We feel caught between adhering to standards and following MD orders. 


Anthony Coddington, RN

My reply to those physicians
My reply to those physicians would be a firm, resolute no, no way, not any day! There is evidence that these suboptimal tip locations leads to a greater risk of thrombosis, therefore you must be a patient advocate and not blindly follow what these uninformed physicians are telling you to do. Lynn

Lynn Hadaway, M.Ed., RN, BC, CRNI

Lynn Hadaway Associates, Inc.

126 Main Street, PO Box 10

Milner, GA 30257


Office Phone 770-358-7861

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