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3M Tegaderm 1683 IV Dressing

What's the consensus on whether this is considered a stabilization or a securement device?  Our hospital is considering eliminating the Statlock and replacing it with this product.  The Rep is presenting it as a securement dressing.  Thoughts?

 Using published studies as

 Using published studies as scientific evidence, this dressing would be part of a stabilization system when it is combined with a peripheral catheter that has wide wings or a stabilization platform. There is no published evidence of how this dressing performs when applied to a traditional round hub catheter. See the INS standard on catheter stabilization as this is part of that standard. Lynn

Lynn Hadaway, M.Ed., RN, NPD-BC, CRNI

Lynn Hadaway Associates, Inc.

PO Box 10

Milner, GA 30257


Office Phone 770-358-7861

Glenda Dennis
We have been using this

We have been using this dressing for 2 years and have not had a CLABSI in that time.  We have had the rare patient develop a sensitivity to chlorhexadine and had to change dressing type because of that.  We like it for it's stabilization but also use Statlock.  I have never been able to completely predict how much catheter is going to be left outside the patient and don't like to trim PICCs if I can keep from it so the Statlock is really important in my opinion.  The additional securement and convenience of this dressing is wonderful.  It takes a little time to learn how to detatch it for dressing changes but it is an excellent product in my opinion.

Carole Rumsey
We switched to this dressing

We switched to this dressing about 1 1/2 years ago.  We did away with the Statlock on most of or patients except we use the Statlock for our TPN and Inotropic patients or anyone that seems to be having problems with keeping their dressing intact.  It works well but we did have a learning curve and initially had a couple of PICC lines migrate out a few cm.  Tegaderm is great at sending out reps and clinicial nurse trainers to educate the nurses on this dressing. 

 I have no affiliation with Tegaderm.


Carole Rumsey, RN, CRNI

Home Infusion Program Manager

Sutter Infusion and Pharmacy Services

Sutter Care at Home

Northern CA

[email protected]

Trialed this product

We trialed the product but found that using it alone without another securement was risky for malposition when the dressing is removed.  Our experience has been that we get many skin tears and have reactions to the tegaderm on the many pediatric patients with fraile skin and decided to used the Sorbaview securement device instead.  We still use other securement as pediatric patients seem to have many incidents of getting the line pulled on in the course of the day.  Theresa


Theresa Reed

Texas Children's Hospital

Houston, TX

We saw that the Tegaderm

We saw that the Tegaderm securement dressing in homecare not only worked but saved the company money.  We expanded the use of this dressing to our hospital PICC programs.  One program uses the CHG securement dressing and another uses the plain securement dressing ( #1685).  On occasion, a decision is made to add a stat lock, if the patient is high risk for loosing the PICC, due to excessive moisture or confusion.   As mentioned, there was a learning curve for the staff nurses and 3M provided the clinical support they needed.  I do not have any affiliation with 3M/Tegaderm.

Thank you

We appreciate everyone's input.  It was very helpful in making our decision.



short stay patients

I need help to support switching from stat-lock brand to 3M advanced securement dressing.

Our policy currently reads to place a stat-lock on all PIV’s. Short stay patients are exempt (no timeframe spelled out). The problem arises when these short stay patients (ED, endoscopy, same day surgery, etc.) get admitted to the floors. Also, our surgery department prefers no stat-lock due to potential skin integrity issues r/t positioning of patient during certain procedures.

So I started researching products and found the 3M product. I was hoping to get 2 birds with one stone. However, the short stay areas are concerned with cost. The 3M product is around $1 and the plain tegaderm is about .22 cents.

We are not following our own policy and I understand it is best practice to secure IV's. So the discussion has been to maybe place a time frame on short stay patients like maybe 24 hours.

I’m wondering if this has been a dilemma at other facilities? What are other areas using for your short stay patients?

I appreciate any thoughts


 The trend I see is to use

 The trend I see is to use tape and a TSM dressing for all outpatient and/or short stay patients. Based on evidence, this does not make sense. The majority of short peripheral catheters fail within 24 hours due to a complication. So not using an engineered stabilization device on these catheters is in conflict with the evidence. I have also seen many more legal cases of PIV complications in outpatient, same day surgery, endoscopy clinics, and ER. There is no evidence available on the 3M securement dressing when used with a traditional round hub catheter. There are 2 studies, one randomized trial and one cohort study without randomization, showing that the 3M securement dressing used with a catheter with a stabilization platform is equivalent to a separate stabilization device. I would recommend you check with your risk management dept about any lawsuits involving short PIV caths brought against your hospital. Then look at the studies listed in the INS Standards of Practice, Catheter Stabilization standard. Lynn

Lynn Hadaway, M.Ed., RN, NPD-BC, CRNI

Lynn Hadaway Associates, Inc.

PO Box 10

Milner, GA 30257


Office Phone 770-358-7861

What to do when Patients stay longer

Ms. Dawn,

Have you looked a something other than the 3M product line? Might I suggest looking at something that combines both  securement AND a dressing component? Look at the Centurion Product line; you might just find what you're looking for.

Best of luck


Tom Burns, RN BSN

Clinical Nurse Edu

TSM or tegaderm as a securement device

For what it is worth.  I have had good success using TSMs/Tegaderm (we use Tegaderm brand) as a securement device.  This was before all the other gadgets were available to us.  I start the IV and immediately place the first TSM over the catheter up to the connection.  I then place my fingers to hold pressure over the site and remove the last bit of catheter needle and attach my extension set.  I then curl the extension set in the best manner to keep the catheter in appropriate position in the vein, even propping the hub with a piece of sterile 2 x 2 from the kit if needed to prevent traction on the catheter.  I then cover the loop I have made with a 2nd tegaderm.  The remaining piece of extension is taped to the tegaderm instead of the skin to prevent tape irritation.  Our observations (no studies) have shown this to be a very successful way of inexpensively securing even the round hub catheters as you have secured the whole loop.  Arm bands etc do not catch on the loop and slide right up and over the tubing.  We seem to have much fewer accidental pull outs.  Of course this won't stop the determined confused pt from pulling out an IV but neither will anything else.  I now do this on every IV.  Approximately 25 cents is very inexpensive especially for your patients that are only going to have their IV for short term.  We have had no problems with many IVs staying intact for days.  The TSMs are easy on most skin.  I 

For confused pt's I want to ban coban (I don't know the generic name, looks kind of like ace wrap that sticks to itself).  I have seen too many disasters from the use of that product.  I cut out the toes of our gripper/slipper socks.  Use the largest size needed.  Put the cut end toward the arm pit and the cuff end becomes the cuff.  It can be rolled up or down to easily inspect the IV site.  Tubing can run up the "sleeve" and out the neck line of the gown to keep it out of the pt's way.  Put "sleeves" on both arms so that the pt doesn't know which arm the IV is in.  I instruct the nurses to watch for the pt to start picking at the area of the IV to indicate that there is pain and inspect again.  Our fall precaution pt's wear yellow socks so I use yellow socks on their arms.  That is VERY VISIBLE that they are on fall precautions.  It doesn't eliminate all pulling out either but we find it helps pt's keep from fiddling with tubings, doesn't get too tight like wraps can and is easy to move for inspection and recover. 

I know that there are many fine products for securement out there.  We are working hard at cost control and are finding that this technique is working well for us.  Our department is too small for me to try to do a study with controls.  For a long time I was the only one who did this.  We are a two person department.  Finally my coworker was sold on the idea and she does it all the time too.  That came from her follow up on how neat my IVs looked when she came back.  The proof for us was in the follow up.  When I get a chance to go back to school, I may make both items a project.  I would like to see if IV's last longer if we put "socks" over all IV's.  It seems to make sense to me that if we keep arms warm the veins will stay better dilated and may last longer.  We'll see.  Best to all.

Mary Penn RN  Vascular Access Team

Greater Saint Louis MO

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