We have been having a lot of issues with our PICC's recently. Our facility typically uses only groshong PICC's. When they are inserted, there is a very large portion of the external length (averages about 10 cms, and have been much longer than 10 in many cases). When dressing these, the nurses have been experiencing many difficulties. Stablizing the catheters is difficult, and statlocks do little when they are this long. We have been coiling the piccs to help secure them. While dealing with such a long catheter, we have concerns about sterility and causing BSI's as there is a lot of manipulation of the catheter to coil and stabilize it, as well as measuring the external length, it's difficult when it is so long.
Is this the norm? If not, can someone point me in the direction of evidence to support shortening the catheters? We've talked to radiology who inserts them, and they just say "too bad, we won't change" without any rationale.