You have just inserted a PICC line in a 42-year-old female who is scheduled to discharge home for home health daily chemotherapy treatment. You have not had an opportunity to review the patient's chest x-ray due to the number of PICC placements you have to insert. You receive a call from the radiologist indicating the PICC line is not cleared and has a complication. You review the x-ray and see this on the x-ray. What steps do you take to clear this PICC for use? What steps should you have taken to ensure there was proper tip position of the PICC line at cavo-atrial junction. Are there any patient factors that would impact proper tip position? How would you determine the appropriate length for PICC placement at the cavo-atrial junction.