How much PICC migration is acceptable and at what point do you need to be concerned and consider it's no longer SVC?
Recent patient was extremely active. PICC team (we outsource PICC insertion to the hospital system PICC team, which we are not) failed to write how much tubing was external at insertion. However, I was able to document 1.5cm weekly migration with dressing changes. Antibiotic and CRP levels remained in good ranges, but we discussed as a team that any further migration would need to be reported to the prescribing MD after the second week.
Patient d/c'd and it was no longer a concern for *this* case, but am interested in learning for future reference. He was our first PICC that was migrating at all. Most of our patients are very careful and protective of their PICCs and we never see little to no migration at all.