Are you saying that the PICC was already in place and some type of accident caused a break in the same arm during the PICC dwell time? If so, what bone is broken - forearm or upper arm? Relationship to PICC insertion site? Obviously if a cast is going to interfere with the PICC dressing change it must be removed, but if not there should not be a reason to remove it. Is the arm excessively swollen? Also interfering with circulation in that arm? I don't think there is a simple yes or no but this is based on patient assessment. For what infusion therapy was the PICC placed? How much longer will it be needed? All important factors.
Are you saying that the PICC was already in place and some type of accident caused a break in the same arm during the PICC dwell time? If so, what bone is broken - forearm or upper arm? Relationship to PICC insertion site? Obviously if a cast is going to interfere with the PICC dressing change it must be removed, but if not there should not be a reason to remove it. Is the arm excessively swollen? Also interfering with circulation in that arm? I don't think there is a simple yes or no but this is based on patient assessment. For what infusion therapy was the PICC placed? How much longer will it be needed? All important factors.
Lynn Hadaway, M.Ed., RN, NPD-BC, CRNI
Lynn Hadaway Associates, Inc.
PO Box 10
Milner, GA 30257
Website http://www.hadawayassociates.com
Office Phone 770-358-7861