Re: [vascular] RE:Unable to get PICC into SVC

[PICCNurse]

There are many times that for some reason duty to anontomical problems that the PICC may not be able to terminate in the SVC. We usually will check on the irritating componets of the infusate and if not requiring SVC we will leave as Brachial cephalic or subclavian. We have found more problems with pulling back to the midline placement than leaving as subclavian or brachial cephalic. If the patient is in the units they tend to draw their labs from the PICC. If they are pulled back to a midline we find they stop having good blood draws within a week. We have not noticed any increase in thrombosis by leaving in the subclaivan or brachial cephalic placement. Linda Lembo NJ