I was taught to insert the needle at a 90 degree angle when inserting a PICC line. I'm wondering if it would save some vessell perforations if the approach was modified to a 45 or even 30 degree angle?
Using a needle guide will assist you to "learn" these different angles that you have with your needle. Needle guides are great for beginning PICC teams. More advanced teams find them somewhat "restrictive" but nevertheless, a needle guide will assist you in learning what the different angles are.
Cheryl Kelley RN BSN, VA-BC