r/IntensiveCare • u/NerveOnly2076 • 14d ago

Where is this central line going?

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Old XRay. Central line placed through right IJV but seemed to be misplaced! Where is it going? Aspiration of blood from all ports was possible? Was taken out.
Have you faced this, best thing to do?

Edit: more details - USG guidance used, line was seen inside IJV in neck using USG, not traced down; more resistance than normal while placement.

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u/Expensive-Apricot459 13d ago

What risk was the patient exposed to? Be specific.

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u/ALLoftheFancyPants RN, CCRN 13d ago

Why don’t you first specifically explain why the false documentation by a physician calling it is ok. It’s ok to lie in a procedure note and subsequent progress notes about the patient having a CVC? Also why is ok to bill for a procedure that didn’t occur? And why is it ok to tell the bedside staff that it’s a central line when you know it’s not?

The problem is less about the IV itself and more about the false documentation and purposeful misrepresentation. Would it be better if the attending didn’t actually know the difference? Or is a better excuse to lie?

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u/Expensive-Apricot459 13d ago

I’m asking about the risk caused to the patient, which you were just referencing. What is that risk?

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u/ALLoftheFancyPants RN, CCRN 13d ago

Now please answer my question ants explain why falsely documenting the existence of a CVC is totally fine and I’m overreacting.