What is Catheter and IV Line Securing?
Catheter and IV line securing involves the proper placement and stabilization of catheters and intravenous lines, ensuring they remain in place and function effectively. Proper securing minimizes the risk of complications such as dislodgement, infection, and infiltration.
Why is Securing Catheters and IV Lines Important?
Ensuring catheters and IV lines are securely placed is critical for multiple reasons. It prevents accidental dislodgement which can lead to interruptions in therapy, increased risk of infection, and patient discomfort. Proper securing also protects against potential complications like
phlebitis and
extravasation.
- Adhesive Tape: Commonly used for short-term securing.
- Sutureless Securement Devices: These devices reduce the risk of infection and are more comfortable for the patient.
- StatLock: A popular brand of securement devices.
- Sutures: Typically used for long-term catheters.
1. Clean the Site: Ensure the insertion site is properly cleaned with an antiseptic.
2. Apply a Transparent Dressing: This allows for visual inspection of the site.
3. Use a Securement Device: Apply a sutureless securement device to anchor the catheter.
4. Loop the Tubing: Secure the tubing with tape to prevent tension on the insertion site.
- Dislodgement: Leading to therapy interruption.
- Infection: Due to exposure of the insertion site.
- Phlebitis: Inflammation of the vein.
- Infiltration: Leakage of IV fluid into the surrounding tissue.
- Extravasation: Leakage of vesicant drugs into the tissue, causing damage.
How Often Should Securement Devices Be Checked and Replaced?
Securement devices should be checked regularly, typically every shift, to ensure they are still effective. The dressing should be replaced if it becomes soiled or loose. For
central venous catheters, dressing changes are recommended every 7 days or when compromised.
- Using Securement Devices: Such as Velcro straps or adhesive devices designed for urinary catheters.
- Positioning: The catheter should be positioned to avoid tension and minimize movement.
- Regular Monitoring: Check the securement device regularly to ensure it remains intact and the catheter is not causing discomfort or trauma.
- Avoiding Sudden Movements: That could dislodge the device.
- Recognizing Signs of Complications: Such as redness, swelling, or leakage.
- Keeping the Site Clean: To reduce infection risk.
Conclusion
Proper securing of catheters and IV lines is a critical nursing task that ensures patient safety and the effectiveness of intravenous therapy. Utilizing appropriate securement techniques and devices, along with regular monitoring and patient education, can minimize complications and improve patient outcomes.
