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Identifying a Vein for PICC Line Insertion

February 15th, 2021
 
 
 
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Overview

The most common sites for PICC line insertion are the cephalic vein (laterally) or basilic vein (medially) within the antecubital fossa or just above.

Tips for Finding a Vein

  • Do

  • Ask the patient about their preference of arm
  • Use the nondominant arm if possible
  • Don't

  • Absolutely do not use the same arm as an AV fistula
  • Don't use the same arm as a past lymph node dissection or mastectomy
  • Don't insert a PICC on the same side as a pacemaker
  • Don't use a limb affected by stroke
  • Don't insert a needle through a burn, oedema or infected tissue
  • Don't use a limb that has a DVT
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