Step 1: Confirmation of venous position

Procedure

✔️ Subxiphoid or Apical-four chamber view

  • Label US image with view and “flush”

✔️ Flush

  • Inject 10cc NS into the distal port of the CVC
  • Save a clip
DRAUPIN Apical-four chamber
DRAUPIN Subxiphoid

✔️ Right Atrial Swirl Identified

Step 2

✖️ No Right Atrial Swirl

  • DRAUPOUT
  • Obtain CXR