Do you need an "OK to use CVC/PICC/port" order for an old access?

I know you need one before you can access any NEW central line or PICC or port, but if a patient is admitted with an old one do you still need the order before you can use it?
Policies vary from institution to institution. Check your facility's P&P.In the acute care setting where I practiced until recently, for ports and PICCs placed prior to the current admission, you needed an MD order to access a port, and for a PICC line, you needed an MD order and radiographic confirmation of tip placement prior to use.

What Stargazer said.Facility I last worked in wouldn't allow anyone to use an established line for any newly-admitted patient: didn't matter if WE put the line in and sent the patient home a week ago. New day, new order needed....with line placement VERIFIED.

My facility's policy is that if we placed it and we can see the old order in the EMR and the patient denies any issues with it (pain, pulling), we can use it. Placed at a different facility we need an order.

Quote from RNsRWeWhat Stargazer said.Facility I last worked in wouldn't allow anyone to use an established line for any newly-admitted patient: didn't matter if WE put the line in and sent the patient home a week ago. New day, new order needed....with line placement VERIFIED.

Quote from MunoRNI'm curious how this works with outpatients, do they have to have placement verified for every visit for a dose of antibiotics?

Well now I feel silly just went over my central line policy again and I found it. It doesn't say anything about needing an xray verification for an old line though, just the order.

Yes we need an order to access any central/midline. There are signs hung in every room informing the patient that they should expect the phlebotomist to stick them regardless of having a line. It also explains how easily bacteria is spread into to blood through the use of central lines

Quote from ~*Stargazer*~Policies vary from institution to institution. Check your facility's P&P.In the acute care setting where I practiced until recently, for ports and PICCs placed prior to the current admission, you needed an MD order to access a port, and for a PICC line, you needed an MD order and radiographic confirmation of tip placement prior to use.