Â I'm looking forÂ a procedure on retracting the PICC line after insertion and occulsive dressing applied, for instance, fluroscopy placement reveals good tip position but am cxr show tip deep. Do you set up sterile field? Maximum barriers? Documented literature ?
Lynn Hadaway, M.Ed., RN, NPD-BC, CRNI
Lynn Hadaway Associates, Inc.
PO Box 10
Milner, GA 30257
Office Phone 770-358-7861
Thanks for your response but I didn't make myself very clear. After PICC placement confirmed under fluoro to be in lower svc, stat lock device is applied then covered with sterile occlusive dressing. Later for some other reason cxr done and line seen in RA and requires retracting. At this point, do you set-up sterile field, wear hat and mask? We had not incorporated PICC retracting after line placement is complete in our policies and have recently found cxr results different from our fluoro.We are a small department and prefer evidence based practice and write this up as a policy so we can provide consistent care to our pediatric population. Not all of these situations have been inconsistencies between the chest films and fluoro but that makes for a good description. Your responses and any guidlines you have are greatly appreciated.
Respectfully, Stephanie Klee RN BSN
Your pat is taking a deep breath during the chest xray, not during the placement under fluroscopy....think about it.
Also a sterile dressing change, but there should be a repeat film if the catheter is manipulated for legal purposes.