As a new PICC nurse, I had a patient with a bilateral mastectomy who stated she has lymph node involvement. In training, a mastectomy was a contraindication for PICC placement. The surgeon that performed the mastectomy was consulted and said the patient only had sentinal node involvement on the right side, and axillary node involvement on the left, thus it was okay for PICC placement in the right extremity due to no risk of lymphedema.
As a PICC nurse does this go against our standards of practice? I have yet to find evidence based research on this topic. Any suggestions?