Our PICC dept here at Olympic Medical Center is trying to develop P&P’s on a couple of topics. One is regarding nurse confirmation for PICC radiograph determination of tip location with the radiologist confirming within 24 hrs. The other is a policy on when to repeat the CXR after the PICC has been placed with the first CXR showing the need for either pulling back or advancing.If If anyone has any P&P's or any info on these topics we would be more than grateful.Thanks,Tami, RN, BSN (PICC Team)