The policy at my facility states that after initially placing the PICCÂ the external portionÂ should be placed on 4X4s and wrapped in Kerlix prior to CXR. This is to facilitate repositioning should the CXR show the tip to be malpositioned. I have never been comfortable with this procedure and prefer to completely dress the line prior to CXR. I check for Jugular malposition with an agitated Saline injection, and cut the Line at the long end of the measurement to avoid being caught short. Between these two precautions I have rarely been in need of repositioning other than possibly pulling the line back a few cm's, which I do under the dressing change protocol rather than the full barrier precautions of insertion. My question to others isÂ how you deal with malpositions revealed on CXR.