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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?

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., NPD-BC, CRNI

Lynn Hadaway Associates, Inc.

PO Box 10

Milner, GA 30257


Office Phone 770-358-7861

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