Called to do a PICC in ICU.Â They want us to insert a new PICC in the right arm and then they will d/c the exsisting PICC in the pt.'s left arm.Â Pt. has been spiking temps.Â No blood cultures have been done yet, but as usual, Dr.'s think the source of infection is from the PICC.Â I worry about seeding the new PICC line if pt. does have + Blood cultures.Â Dr.'s want new PICC asap.Â What is protocol in relation to inserting PICC's when a pt. is febrile and has not yet started on any ATBX, and what if blood cultures are positive.