We currently have a policy that patients admitted with any type of central line must have CXR tip confirmation before it is used, but that is our inpatient setting. We have not addressed this ourselves in the outpatient setting, unless Heather has dealt with this lately. This policy has proven to be appropriate, as we have found migrated lines. We had one that was lower SVC, which migrated into the azygous between chemo admissions.
Leigh Ann 
 
 
-----Original Message-----
From: [EMAIL PROTECTED]
To: [EMAIL PROTECTED]
Sent: Thu, 12 Oct 2006 11:04 AM
Subject: Re-xraying PICCs

At our facility, outpatients coming in for medication therapy through their piccs must have a location confirming CXR if the picc is not being accessed every 24 hours.  We now have a patient coming into our ambulatory care unit for medication administration every 7 days via his picc  and the nurses are not happy about getting a CXR each time.  What are the rest of you doing?
Thank you,
Laura
 
Laura Cordell, CMSRN, Resource Unit Clinician
CNA Educator
Central Washington Hospital
Ext:2626
Cell phone: 509-433-4801
 
 
 
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