My new dept. manager has just instructed us to 'never trim your piccs' prior to insertion. Apparently she met the Arrow rep and walked away with this change in our practice. The reasons she gave were 1) the smooth, manufactured tip will reduce the incidence of thrombus formation (rough edges from the cut will promote thrombus), and 2) despite the turbulent flow in the SVC, it's safer to have medications exit from the catheter from staggered exit sites (rather than a double lumen being cut flush & having the meds potentially mix on exiting the catheter).
I'd like to make decisions using evidence based practice. Anyone have any resources to back up or refute these claims?