we all know that INS standards for things like Dopamine, Nipride,etc recommend a central line. Although we teach and teach, these standards are not always met. Our ICU patients often times have only PIV's when they should have CVLs.Â Administration is looking into making it a hard and fast rule that these types of meds HAVE to go into a central line. Which is a good thing.Â Here is the dilema:Â Dopamine gets ordered at 2am.Â MD says "we're not putting in a CVL in the middle of the night, get a STAT PICC."Â Â Our 140 bed hospital cannot support a 24/7 PICC team.Â Is there some kind of standard or recommendation that states it is acceptable to run Dopa (or whatever) for xxx amount of time until a CVL gets placed?Â How is this handled in other facilities?