Here's the newest event which raises some red flags on my part... the other day, pt with an existing right picc has a site infection, s the order was to place a new picc on the left. this pt historically has not had a successful picc on the left(2 midlines.. unable to advance both times). Knowing this, I took the pt to IR and the venogram shows no direct communication from the left subclavian to the right. Both dumps straight into the RA, but the left has an obscure angle preventing the PICC from advancing. The radiologist used all kinds of wires, but still couldn't advance through the sharp angle. So he gave up and left the PICC at the subclavian. He says its fine wher it is. I told him, i'm not supposed to leave it there, but it was his call. the pt has TPN going. I know our literature says not to leave it in the subclavian, but if the Rad says to leave it there, I had no choice. I'm thinking to give the right arm a rest a few days and insert a new one back there again. What would you do?
-- Roger Soriano, RN Vascular Access Specialists 818-687-8348 CONFIDENTIALITY NOTICE: This e-mail message, including all attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. If you are not the intended recipient, you may NOT use, disclose, copy or disseminate this information. Please contact the sender by reply e-mail immediately and destroy all copies of the original message including all attachments. Your cooperation is greatly appreciated.
