I am hoping for some feedback and wondering if there are industry standards involving my questions.
We were asked to place a PICC in a patient who had an SVC graft and noted cavoatrial stenosis at the time of surgery which had been almost a year ago. Should there be some type of vascular study done before attempting a PICC?
Our current policy is to check with nephrology for a patient that has a GFR
Is it up to the cardiologist to clear a PICC for someone with a new pacer/ICD? I have read that there are not any documented cases of a PICC dislodging a wire but wondering how others deal with this situation.