7/28/2023 0 Comments Double lumen picc line![]() ![]() It shows that you verified the placement. It really matters if the end of it is in the atrium, the cavoatrial junction, the SVC, or if it looped somewhere. ![]() We always mention if it is a power PICC or if it is valved or non-valved.Īlso mention where it terminates. If they aren't, the PICC can rupture or the end of it will squirt around like a fire hose and displaced. There are PICCs that are not compatible for CT. CT scan uses contrast during diagnostics tests and that needs to infuse at a (lets say fast) rate. Mention if it is a Power PICC or CT PICC. Non-valved PICCs can be used for central venous pressure (CVP) readings while valved PICCs can not. Some PICCs have valves, while others have clamps. The SVC on average is 7 cm long so if you have catheter outward migration of just a few cms in can make a difference and needs to be checked. If the measurement has changed you need to call an IV nurse as remedial action may be needed. This varies so lets just say in this case it is 5 cm. This has been verified when it was inserted and you will have a measurement that is externally visible. You need to know where the tip of the catheter is to make sure it is central. You need to make sure the entire PICC is under a TSM dressing (OK for the tails to be free) if any of the PICC is exposed bacteria can track into the insertion site You need to make sure all lumens have a blood return and flush with ease You need to assess for s/sx of local or systemic infection You need to assess for s/sx of thrombosis (both central and upper arm) You do not need to name the vein it is in as this has already been documented when it was placed and you cannot tell by looking if it is in the Basilic or Brachial.best not to guess.ĭsg is CDI and is not outdated nor are the caps and they should be clean too without any blood or debris on them There are no s/sx of any PICC related complications observed. If you are doing a short note you can say something like right arm dual lumen PICC with D5W infusing at 25 ml per hour. Since a PICC is a central line you want to assess and comment on more that just the how the site looks. ![]()
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