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Multiple attempts - cephalic? send to IR?

One of our IV Therapy nurses posed this question to the IV Therapy Professional Practice Council (PPC):

"PICC Guidelines - If multiple attempts are made @ Basilic and unsuccessful (assuming she also includes brachial here) - okay to use cephalic (?) IR does - should we change protocol if cephalic inserted, i.e. daily checks?  How much time is reasonable to spend?  > 2hrs?  Please advise."

The PPC is in the process of gathering appropriate data to back up whatever guidelines we create related to her questions, but I thought I'd pose this RN's questions to all of you as well.

What would you say?  Do you have data to back it up (please refer to it if you do, for our benefit).


Thank you,

Mari Cordes