What about?...

[Leann . L . Kennedy]

Quick question.
ICU pt s/p DL PICC in R arm, developed DVT in basilic vein.  One port clotted off, the other had a blood return.  The intensivist actually ordered to continue using the good port, despite the DVT, however, peripheral access was obtained, and I pulled the line.
The nurses now have 3% NS running into a PIV below the DVT, and this has been running since the PICC was d/c'd 4 days ago.  I've recommended central line placement several times, however, the MD refuses, and I'm reluctant to place a second PICC in the other arm.  
Is there any protocol/evidence-based practice to back up PIVs being placed below DVTs?  
Any guidance would be helpful.  Thanks.
Leann Kennedy, RN, BSN
PICC RN
Office/Voice Mail:  650-299-2264
Pager:  650-254-7758

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