I am sure this topic has already been discussed so excuse me if I am repeating.....Does anyone have any research or supporting data on INR/Platelet levels prior to placement of a PICC line. I worked in facilities before that didn't really bother themselves with it but I am in a facility that has certain criteria that blocks the safest line. Any input would be great as I feel like it's the only way I can present it for possibly a change.
I have done a PICC with INR of 7.0 and no problem. I did a PICC tonight on an old IVDA with platelets of 36 and sick. Yes, I cheated. Well, not really....I am not used to looking it up and placed it anyway........don't tell on me........but I felt it was the safest line and he needed blood/FFP. I couldn't have gotten what they require for blood anyway.........and I was much safer than the residents trying the IJ/SCV.Â Any help would be greatly appreciated.