I attempted to start a picc line yesterday and only got about 12cm in, I flushed without any improvement.Â Anything else I could have done?
Can you tell,Â I new to all of this.Â
Wendy Erickson RN
Eau Claire WI
Since you are new to this, I also have to think that the catheter wasn't threading into the vein. We have had many times during training that the limit is about 12-15 cm. threaded fairly easily without blood return and without flushing helping.
Think about the insertion that you described. Was there excellent blood return via the introducer? If not, it could have been partially in the vein and when the PICC was inserted it "tunneled" along the vein, instead of being in the vein.
We have no proof that this is the occurrence for all of them, but we did have a few referrals to IR, that the PICCs were not in the vein. However, we also have a list of people that we don't even try.
It gets so much better with more experience. Hang in there! And good luck.
I had great blood return. This forum is awesome, I so appreciate the feed back/
Victoria Sallese, RN, VAT, PICC service