Quote from HeartRN_09
Just wondering if this is just something that comes with time and experience once you're comfortable and consistent with your measurement method.
Yes, Absolutely you will get it with time. Different nurses have slightly different methods for measurement. I've been placing lines for almost 10 years and I've figured out good measurements based on insertion site and body size, oh and which arm you are using. A very tall obese patient is obviously going to have a much longer line than a skinny-mini.
I like to have my PICCs exposed exactly 1cm for the biopatch. I pretty much have it down to a fine art but I still get fooled from time-to-time. Just this morning I placed a line in a lady but she was lying in the bed in an odd position for her comfort. My measurement didn't quite come out right and 3cm were exposed.... dangit. But that's the way it goes.
You're measurement technique seems fine. Don't be afraid to play around a little and find a consistent method that works for you. A few centimeters of exposed catheter isn't going to hurt anything, I worry more about having a catheter that is too short.
Now you have me curious, I see you are from OK. I am too, have you heard of OKVAN (Oklahoma Vascular Access Network?) PM me if you want.