there is no rule on INR and the placement of a PICC line as there is on a large bore central line placed in the subclavian or jugular
It is a patient risk assessment. The patient needs therapy and often that therapy needs a central lines or their venous access needs require a central line. What would be the safest central line one can place? It is a PICC
Bard Access Systems
It is the same at U of L in Louisville Ky.! If you need a central line, a PICC is the safest line to place when bleeding is a concern. The only labs that really concern us is chronic renal.
Lynn Hadaway, M.Ed., RN, BC, CRNI
Lynn Hadaway Associates, Inc.
126 Main Street, PO Box 10
Milner, GA 30257
Office Phone 770-358-7861
I usually discuss this with MD prior to placement. If platelets are less than 20K or if INR greater than 2.5 the MD's can chose whether to treat with blood products prior to placement.
Nadine Nakazawa, RN, BS, OCN, CRNI, VA-BC