Do we need to obtain a CXR prior to instilling TPA in a PICC line?
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., NPD-BC, CRNI
Lynn Hadaway Associates, Inc.
PO Box 10
Milner, GA 30257
Office Phone 770-358-7861