We always adjust the PICC tip so that it is at the caval-atrial junction or
deep distal SVC. We place the wing 1.5 cms away from the exit site and
suture to one side, placing a steristrip over the wings. Then we use
Statlock on the hub portion. We're doing that with the PowerPICC as well
for consistency sake. It's easier for the nurses to change the PICC
dressing with similar landmarks. We also allow for enough PICC externally
to advance if our external measurements are off. We will it's more
important to have the tip correctly placed, and allow for the adjustment to
be outside the skin.
Nadine Nakazawa
From: "DAVID LONGSETH" <[EMAIL PROTECTED]>
To: [EMAIL PROTECTED]
Subject: Catheter length exposed--evidence or opinions?
Date: Sat, 12 Aug 2006 10:11:34 -0500
The majority of the PICCs I place are Bard's Groshongs,so I have only two
lengths to choose from. I always try to measure accurately enough to leave
out more than 1.5cm (to accomodate the Biopatch under the dressing) and
less than 5cm (to take advantage of the tapered end to plug the vein and
the tract). Due to differences in patients' anatomies,it doesn't always
work out that way but I try. Does anyone have any thoughts on the matter?
Thanks
David
