suhurd

I.ve been doing Piccs both in home health and ICU for 15 years. Today I had a newly certified Picc Rn tell me that the standard is now to use the 45cm instead of the 55cm and always insert it to the hub. I've always carefully measured the length of the insertion based on the patients size. To insert to the hub is totally against what I've been taught. What if the line breaks? How far out do the rest of you leave the cath from the insertion site? It used to be that a line wasn't considered a true picc unless it was in the superior vena cava? The newly certifieds are telling me anyplace such as the suclavian is a picc and not a midline cath. Can anyone help clear up these questions for me? Thanks.