How do other clinicians manage requests from physicians to use PICCs with tips outside the SVC? When my team is unable to drop the catheter tip to the CAJ/SVC, most times the physicians will say it's good enough and ok it for use (even pressors/vesicants). My recommendations are to remove and replace in IR, but rarely do they.
Is there literature I can give them or studies on outcomes related to tips outside the SVC? It makes me cringe personally but I feel the physicians have final say. Is this something I shouldn't worry about since they do have the final say and I chart this very descriptively? Lynne?