Since we have been having this long and interesting discussion of tip placement for the past week I thought it might be a good opportunity for those of you that insert PICCs blindly at the bedside either with or witout benefit of US/MST but NO flouro to please describe how you MEASURE (excluding those that use Nurse Lums method)--We have experienced a rash of MISmeasurements lately--Ranging from 4-5cms too short to 4-5cms too long--Perhaps there are some web addresses you can reference that have diagrams--Most greatful as always for your guidance
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Robbin K. George RN
Vascular Access Resource
Alexandria Hospital Virginia
Robbin K. George RN
Vascular Access Resource
Alexandria Hospital Virginia
What exactly is the anatomical location of "fine" or "okay to use"? This is the question I have asked doctors who have pronounced one of these terms to be the tip termination of a PICC. I had one radiologist who sent (via his tech) me the message that tip termination was fine. It took several hours to validate what he meant, which was RA. Fine to him, not to me, as I cannot leave it there as he could have. Some docs think brachiocephalic is fine. You are correct - you need to get the exact tip termination from them.
Leigh Ann
