There is some interesting reading on Securement of IV Lines now that there are viable alternatives to the older Stat Lock Type device available to clinicians. New Entries include the Picc/CVC Securement device from 3M, Secure Cath and other products & dressings from multiple companies. Clinicians may wish to look into these devices because they are backed up by Best Practices.
Speaking specifically to IV site securement I think the INS Standards are clear. INS Standard 36 on Page S46 states that a securement device should be used. "The use of a catheter stabilization device should be considered the preferred alternative to tape & sutures when feasible."
Now some on here have been touting the use of a Sorbaview dressing for Securement in place of a securement device. Were those clinicians aware of the FDA Adverse Event reports regarding Sorbaview dressings saying the following: "there have been 27 events involving dislodgement of picc lines with the sorbaview securement dressing. The dislodgement was often noticed prior to or during other care. Dressings in these events were in place for differing periods of time (e. G. : 1, 2, 4, 6, and 7 days)." This is despite a hospital lwide re-education of the staff on correct dressing placement.This FDA Adverse Event maude report can be found here: http://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfmaude/detail.cfm?mdrfoi__id=2973648
It was reported to the FDA on 2/22/2013. Please note there are Previous Adverse Event Reports for this product at the FDA website as far back as 2011. Clearly clinicians should view this as a concern and weigh potential liabilities.
Now that there are new more patient friendly securement devices out there to compete with older stat lock type devices, one should seriously consider taking a look at these as devices as a new alternative for securement.