I have just experienced seeing an application and removal 7 days later of a new picc and central line iv securement device and I must say it is impressive. This in my opinion is a much better alternative to stat lock for clinician's who want flexibility and improved holding power. No more doors to close and break. 3M apparently makes this product and it is skin friendly to patients while holding better than stat lock or even sutures. No more super aggressive adhesive like stat lock uses which is known to cause skin issues. Seems like a viable alternative too for ending all those floppy IJ lines too.
Can you share the name and company ? Thanks Cindy
Cindy Brown RN BSN CPN
IV Nurse Educator/Clinician
We are trying a new securement device also. We trialed the 3M product and I like it better than the StatLock but we we are now evaluating the clip from Securacath. Works well so far and its really easy to clean around. Supposed to stop any kind of catheter movement and migration. So far it has. I like it but have placed only 7-8 so far. Report on it later
I dislike Secur-a-Cath. It can be difficult to remove if a lot of connective tissue builds up around the prongs. Pts report that it is painful when it comes out. Unless they updated their product, the plastic "case" is not made of antibiotic material so there is really no way to do a truly aseptic dressing change. We work so hard to scrrrruround the catheter and apply a fresh Chlorhexidine-impregnated sponge or dressing so that the environment under the dressing is aseptic, but you can't do that with Secur-a-Cath. I don't know the complication rates or very much post-market data, but it was not a product that I felt comfortable with. I'm curious what others' thoughts and impressions are.
Keith W. Gilchrist, MSN, RN, PHN, OCN, CRNI, VA-BC
Oncology Nurse Navigator, David Grant Medical Center
Travis AFB, CA
I think the person is refering to 3Ms IV anvaced securement system
Nurse specialist ICU/ANE/PICC.
Dep. of Neurosurgery
Umea University Hospital/SWEDEN
We are looking into other methods of securement devices, other than stat-lok. We have been using both stat-lok and securacath. My question> are there other pediatric institutions using securacath? If so do you have issues with removal?
We have been using the SorbaView Shield for several years now and love it. The dressing has built in securement. Not as harsh on the skin, secures the line, and it takes a lot less time to do the dressing changes.
Valorie
Valorie Dunn,BSN, RN, CRNI, PLNC
Hi All,
There is also the Grip-Lok, by TIDI Products which is also a great alternativve for securement for CVCs and PICCs.
I used this product in my institution for the last 4 years and it has been very successful. It has a much lower height profile than the Stat-Lock and does not plastic doors or posts to break over time. It uses a Velcro cover and is available with a moulded foam insert which fits most brands of catheters.
There are several types of products available, so check the website for more information.
http://www.grip-lok.com/products/
Tim..
Timothy R. Spencer, RN, APN, DipAppSci, BH, ICU Cert, VA-BC™
That CVC guy from Australia :-}
Tim, are they using the orange clip much over there for securement. I speak with an IV nurse in Adelaide and she said they are seeing it sometimes. Can you provide any insight on this device and is it worth a try???
Hi --We just started using these on our outpatients. Other sites in our health region have had good success with them. I find the insertion of them fairly straight forward. Opening it back up to adjust your final catheter position after xr is a pain though. Do-able, but a pain.
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How is different than Statlock and is it easy to use. We use 3M and Statlock and have forever. Tried a new one from another company that made changing dressing easier but still had to apply sticky remover. Looking for something that dosent brake as much as the windows on statlock. Thank you
The other 3M product that is new is the PICC/CVC Securement dressing. We are trialing it right now. So far we like it. The only complaint is the small dressing (2 in x 2 in) seems a little too small and the large dressing (4 in x 4 in) is too large. Hopefully they will come up with a medium size. As for the SecurAcath, although the concept is great as Keith stated they are painful coming out. We have had a few patients with this product and all have complained of the pain with removal. Since I am in home infusion these patients usually have their PICC line in for 2 - 6 months....maybe longer. Also, since I am a true believer in an occlusive dressing as soon as any CVAD line is removed (including PICC) it is very hard to apply a vaseline type gauze dressing over the exit site as soon as PICC removal since one must remove PICC first then cut SecurAcath in half and then very gently remove the prones that are under the skin. Can't maintain gauze dressing over site when doing this. Just my thoughts. I am not affiliated with any of the product companies.
Carole Rumsey, RN, CRNI
Home Infusion Program Manager
Sutter Infusion and Pharmacy Services
Sutter Care at Home
Northern CA
[email protected]
The 3M securement doesn't use the suture wings of the catheter, no moving parts, no doors.
Securement device uses a silicone adhesive v. an acrylate like every other device.
Asystole RN, BSN, CRNI, VA-BC
Vascular Access Nurse, Infusion Nurse