I have a new employee that does two things when having difficulty advancing a PICC line into the SVC. 1) he advances the stylet beyond the end of the catheter and then attempts to advance into the SVC. 2) he takes the guidewire that was used for the initial insertion and places it in the 2nd lumen to make the entire PICC line more ridgid. We do our insertions at bedside, no fluroscopy.
Is this common practice? I have only ever retracted the stylet and placed a floppy end when having difficulty advancing.