RE:Unable to get PICC into SVC

[Patty Flack]

I had a patient last week in ICU who had a PICC line ordered, but PICC kept going into the IJ after 3 attempts to get it to go SVC.  I ended up pulling the PICC back to a Midclavicular tip placement.  This hospital does not have IR and the infusates were irritating in nature. I have come across this situation in the past and have been directed by MD’s to leave the line Midclavicular.  My supervisor says to always pull back to midline and schedule patient for IR.  I would like to know the opinion of those who are more experienced than I.  Thank you in advance, Patty Flack RN