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swwebster
Do we need a CXR to determine PICC tip placement prior to instilling TPA?

 Do we need to obtain a CXR prior to instilling TPA in a PICC line?

lynncrni
A chest xray prior to any

A chest xray prior to any form of clearing a CVAD occlusion is not required by the INS SOP, however a malpositioned catheter can be one cause of occlusion. Please see the INS Standard 48 CVAD Occlusion for info on your assessment and management of all occlusions. 

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

Lynn Hadaway Associates, Inc.

PO Box 10

Milner, GA 30257

Website http://www.hadawayassociates.com

Office Phone 770-358-7861

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