our ct department has asked us (the picc team) to place power piccs in all our chemo pt so they can use it for their power injection of contrast. we understand their preference but we are concerned about our pt's safety. these are outpts and it just doesn't "sit right" in our minds, sending them home c open ended picc for the increased risk of air embolism in the catheter is fractured. are we being overly cautious? secondly, i am interested in other picc rn's experiences c the power picc and the new bard triple lumen picc as far as difficulty in getting the tip to head south into the svc. we do bedside insertions c us followed by pcxray. we do have access to a portable c-arm if we need fluoroscopy. thanks, wacajrn