Value Analysis Toolkit Catheter Tube Securement and ...



Clinical Information

What the experts are saying:

Centers for Disease Control and Prevention

Catheter Securement Devices Recommendation:

“Use a suture-less securement device to reduce the risk of infection for intravascular catheters.” Category II (Suggested for implementation and supported by suggestive clinical or epidemiologic studies or theoretical rationale)

Background

“Catheter stabilization is recognized as an intervention to decrease the risk for phlebitis, catheter migration and dislodgement, and may be advantageous in preventing catheter related bloodstream infections (CRBSIs). Pathogenesis of CRBSI occurs via migration of skin flora through the percutaneous entry site. Sutureless securement devices avoid disruption around the catheter entry site and may decrease the degree of bacterial colonization. Using a sutureless securement device also mitigates the risk of sharps injury to the healthcare provider from inadvertent needlestick injury.”

Source: Naomi P. O'Grady, M.D.; Mary Alexander, R.N.; Lillian A. Burns, M.T., M.P.H., C.I.C.; E. Patchen Dellinger, M.D.; Jeffery Garland, M.D., S.M.; Stephen O. Heard, M.D.; Pamela A. Lipsett, M.D.; Henry Masur, M.D.; Leonard A. Mermel, D.O., Sc.M.; Michele L. Pearson, M.D.; Issam I. Raad, M.D.; Adrienne Randolph, M.D., M.Sc.; Mark E. Rupp, M.D.; Sanjay Saint, M.D., M.P.H.; and the Healthcare Infection Control Practices Advisory Committee (HICPAC). "Guidelines for the Prevention of Intravascular Catheter-related Infections." The Centers for Disease Control, April 2011

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Infusion Nurses Society:

36.1. “Vascular Access Device (VAD) stabilization shall be used to preserve the integrity of the access device, minimize catheter movement at the hub, and prevent catheter dislodgment and loss of access.”

36.B “Transparent semi-permeable membrane dressings or other dressings are often cited as helpful in stabilizing the catheter; however, there is insufficient evidence supporting their benefits in stabilization at the intravenous catheter hub alone.”

Source: “Infusion Nursing Standards of Practice.” The Journal of Infusion Nursing. Vol. 34. No.1S. January/February 2011

|Clinical Studies |

|Reference |What the study determined |

|Bonnie Smith and Timothy Royer. “New |Nonrandomized observational study of tape, HubGuard, and StatLock stabilization device |

|standards for Improving Peripheral IV |Outcome measure: percent of IVs remaining in place 96 hours |

|Catheter Securement.” Nursing 2007, Vol. |Observed rates |

|37, No. 3, pg 72-73 |8% peripheral IVs with tape |

| |9% peripheral IVs with HubGuard |

| peripheral IVs with StatLock IV Ultra Stabilization device |

|007/03000/new_standards_for_improving_peri|P ................
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