We recently had an incident of an arterially placed PICC discovered after several weeks of treatment.
The nurse who dc'd the PICC noticed pulsing of blood from the insertion site after removal of the
catheter.Â Â A few days later, another nurse noticed on the x-ray film that the path of the PICC was
unusual...both of these films showed the catheter rising above the level of the clavicle and crossing
the midline, rather than dropping down into the SVC.Â Both these PICC's were placed in the right
Â We(PICC nurses)Â view our PICC x-rays and release them for use...the really interesting thing was that in both cases,
(a different radiologist each time)the radiologist stated the PICC tip was in the mid SVC.Â I took copies of these
films to the radiology dept. for them to use as a "teaching tool" and we have had an inservice on this
situation.Â Â Any one else have something like this happen?