It is off label to cut a dual lumen PICC line and make it a midline. There is no such thing as a dual lumen midline. I wonder why? Could it be incompatible drugs could admix causing major issue to the patients vascular system. I have just left an area where dual lumen PICC lines are being cut to make them midlines in the ICU. Do not even take me there. THIS IS OFF LABEL. YOU HAVE ALTERED A PRODUCT FROM ITS ORIGINAL INTENTION! The tip of a PICC is SVC. Once again you cannot cut a dual lumen PICC and make a dual lumen midline. Stop doing this. It is dangerous. There is not enough blood flow in the arm veins to prevent drug intermixing and damage to the vessels.
Kathy Kokotis RN BS MBA
Bard Access Systems