I recently had an ER physician request an emergency picc line on a patient that was sent to ER with a suspected pulmonary embolus and was symptomatic. He told me to "throw one in" so that she could have a lung scan done asap. I explained to him the time I would need and that the patient required a quicker access at this point but I would insert one later. I did insert a 20g in her hand for the scan, but the ER physician was livid. He told me that I had to follow his orders no matter what. I will be bringing this issue to administration. Does anyone have anything in writing or any guidelines that could help?I don't have a problem inserting the line, my problem was the lady was in distess and he thought that I could throw one in as if I were doing an IV line in the hand. Any help would be appreciated.