I am hoping someone can answer my questions concerning PICC lines that have migrated back out of the SVC.
Scenario: A patient was admitted with a PICC line and it has been determined that the tip is not Centrally located. The doctor has been called and does not want the PICC removed and replaced, and there are no current "Central Line Meds" ordered.
1.) Is it acceptable to leave a migrated PICC as located (Brachial-Cephalic, Subclavian, etc.) and get a "Peripheral Use Only" order from the doctor?
2.) or would it be preferable to get an order to pull the migrated PICC (no longer in SVC) back out to a Midline position and treat as a peripheral line?
Roger Miller RN VA-BC