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Jeff Hanks
PIV Securement practices versus the bean counters..dun, dun, dun, dun

In my hospital we use a commercially manufactured IV securement device and a saline lock on all our IV's.   We use Hub Gaurd/line gaurd from centurian.  We have also looked at statlock.  Some bean counter consultant is attempting to upset my apple cart over the expense of these devices.  I have the data to support continued use but I would like to know how many different devices are out there.  Dose anyone use griplock and are there others?  Does anyone have an inpatient PIV routine that is different than their outpatient routine with respect to securement and saline locking?

 

Jeff Hanks, RN, BSN, CRNI

Vascular Access Nursing, Oaklawn Hospital, MI

lynncrni
My advise would be to make

My advise would be to make sure you are comparing apples to apples. The FDA has a definition for these devices- A device with an adhesive backiing that is placed over a needle or catheter and is used to keep the hub of the needle or catheter flat and securely anchored to the skin - Code of Federal Regulations, FDA, CDRH. I would make sure that what you are choosing meets this definition. Some I have seen only hold the tubing, but not the catheter hub. The studies showing a reduced complication rate have been done with the Statlock brand. So if using a different brand or type, you may need to collect your own data to see if you are getting the same outcomes.

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

 

www.hadawayassociates.com

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

Lynn Hadaway Associates, Inc.

126 Main Street, PO Box 10

Milner, GA 30257

Website http://www.hadawayassociates.com

Office Phone 770-358-7861

daylily
I personally have not used

I personally have not used it, and our facility has not implemented securement devices for our PIV devices, but I have a sample of a device called "The Bone".  It does stick to the skin and has plastic that stretches and locks over the device.  It's made by Nexus Medical.  It looks rather cumbersome to secure, but like I said, I haven't used it.  The website is www.the-bone.com

I would actually like evidence that promotes using securement devices for PIVs.  Anyone have anything at their fingertips?

momdogz
We trialed 3 different

We trialed 3 different devices, one of them being the Bone.

Our staff much preferred Statlock, and still are happy with it.

 

 

Mari Cordes, BS RN 

Nurse Educator IV Therapy
Fletcher Allen Health Care, Burlington VT
Educator, Bard Access Systems 

Mari Cordes, BS RNIII VA-BC
Vascular Access Department
University of Vermont Medical Center

pjean
We are currently using
We are currently using  StatLock for PIV securement.  After MUCH effort in teaching new practices to nurses who are often resistant to change, we have seen an improvement in our dislodgement rate.  Our outpatient services such as day surgery do not utilize these if the patient is an anticipated same-day discharge as we felt that would be too costly.  We are inconsistent when it comes to either utilizing the extension t-piece type saline lock versus the clave as the end cap and saline flushing that......mostly nurse/unit preference. 
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