My apologies if I came across too aggressive, I did not intend to shut down discussion but simply to acknowledge that a distinguished body of CVC experts had reviewed the evidence extensively and come to conclusions years ago that ended up impacting all the manufacturers in their IFU making them change to SVC terminal tip placement. This Standard of Care for CVCs has resulted in million dollar judgements against hospitals that allow terminal tips to knowingly be in other locations (and resulted in injury to the patient). I am certainly open to new evidence, but is the FDA? We just all need to practice with our eyes open to all the information, making adjustments overtime. I am the first to say when something needs to change. RA/innominate/subclavian terminal tip placement is "old school", SVC placement is current. As Doug said, this is similar to betadine concentric circles.
Nancy Moureau, BSN, CRNI PICC Excellence, Inc [EMAIL PROTECTED] 1-888-714-1951
