Call the hospital & get the tip placement. We had a pt who had an xray done in a community hospital. The homecare nurse called us with a similar question as yours. She was told by the MD that it was OK to use the line. We had her call the hospital back- sure enough the tip was in the subclavian vein & she needed a new PICC.
As for stats on midclavicular placement- related thrombosis, I recall a stat of 16-60%. Unfortunately my references are at work (likely came from the NAVAN TIp Placement position paper published in JVAD). Email me off list if you need the references.
Daphne Broadhurst
Ottawa, ON
"Emory, BJ" <[EMAIL PROTECTED]> wrote:
"Emory, BJ" <[EMAIL PROTECTED]> wrote:
Question for the group: I know that if you have a PICC line that has difference in measurement of 2cm either one way or the other, that there should be reverification of the tip location. If you had a PICC that had come out about 6 inches, sent the patient back to the hospital for verification, and the patient was sent home without verification of the tip and with the report of "it's fine", "it's ok to use it", would you use it? As far as midclavicular placement, does anyone have any statistics as to the incidence of thrombus formation? I know it's higher than SVC placement, but looking for some numbers. Thanks in advance!BJ Emory, RN, CRNI
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