Does anyone have any articles regarding not placing a PICC line in a patient with bilateral mastectomies with lymph node removal on both sides. Our pulmonologist, who places central lines, felt we sholud have placed one in a critically ill lady with bilat mastectomies that was getting Levophed thru a finger IV. He said she was more at risk from the finger IV than she would have been the PICC, which is true. He had gone ahead and placed a subclavian line before speaking with me.
 
Is there any research about this? Is this another thing we do because it has always been done this way/ I just want to do what is right for the patient.
 
Martha Torres RN
Presbyterian Hospital of Dallas
Dallas, Texas 75231

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