The hospital wants to change their policy stating that nurses may initiate IV therapy prior to catheter position confirmation with a chest x-ray. I can see that you are also have sort of the same problem. I do not agree with the practice due to my years as a hemodialysis nurse and a Critical Care nurse. But I have a list of articles that support the practice. Now I want to research the number and typrs of law suits due incorrect line placement.
I will copy the references below
Guth, Amber A. M.D., F.A.C.S. Routine chest x-rays after insertion of implantable long term venous catheters: Necessary or Not?" The American Surgeon. January, 2001. Vol. 67, pp. 26-29.
Riblet, Jeffrey L. M.D., Shillinglaw, William D.O., Goldberg, Amy J. M.D.; Mitchell, Kevin M.D.; Sedani, Khemraj H M.D.; Davis, Frank E. M.D.; Reynolds, Neal M.D., "Utility of the routine chest x-ray after 'over-wire' venous catheter changes." PP. 1064-1065.
Cullinane, Daniel C. M.D.; Parkus, David E. M.D.; Reddy, V. Sreenath M.D.; Nunn, Craig R. M.D.; Rutherford, Edmund J. M.D. "The Futility of Chest Roentgenograms following routine central venous line changes." The American Journal of Surgery. September, 1998. Vol 176. pp 283-285.
Sanabria, Alvaro M.D.; Henao, Carlos M.D.; Bonilla, Romulo M.D.;Castrillon, Carlos M.D.; Cruz, Herman M.D.; Ramirez, William M.D.; Navarro, Pablo M.D.; Gonzalez, Mercedes M.D.; Diaz, Abel M.Sc. "Routine chest roentgenogram after central venous catheter insertion is not always necessary." The American Journal of Surgery. 186 (2003) pp. 35-39.
Lucey, Brian; Varghese, Jose C.; Haslam, Philip; Lee, Michael J. "Routine chest radiographs after central line insertion: mandatory postprocedural evaluation or unnecessary waste of resources?" Cardiovascular and Interventional Radiology. 1999. 22. pp 381-384.
Gladwin, Mark T. MD; Slonim, Anthony MD, Landucci, Dante L. MD; Gutierrez, Deborah C. BSN; Cunnion, Robert E. MD. "Cannulation of the internal jugular vein: is postprocedural chest radiography always necessary?" Critical Care Medicine. 1999 Vol. 27, No. 9. pp1819-1823.
Amshel, Craig Edward MD; Palesty, J. Alexander MD; Dudrick, Stanley, MD FACS. "Are chest x-rays mandatory following central venous recatheterization over a wire?" The American Surgeon. June 1998. Vol 64. pp 499-502.