IVs are astonishingly common in hospitals.
In fact, hospitals patients are more likely to get an IV than any other device, as over 80% of patients do1. In the USA alone, 300 Million PIVs2 and 7 Million PICC/Centrals3 are placed every year. Worldwide, over 1 billion IV catheters are placed annually4.
The average hospital has approximately 50 movement-related IV complications each day2, as 30.2% of PICC lines5 and 46% of all PIVs inserted fail2 due to complications, costing each hospital an average of $1,013,380 per year6.
Increasing use of IV
catheters requires better
Unstable catheters increase complication risk.
Inadvertent tugs on the IV line or catheter can cause dislodgement which results in loss of use, delayed medication delivery, and another insertion procedure. Reducing catheter movement lessens the chance of dislodgement.
CRBSI can occur with migration of skin flora through the percutaneous entry site. Catheter motion and pistoning can increase this risk. The INS & CDC recommend the use of catheter securement devices to reduce catheter motion and motion-related complication risk.
An improperly secured catheter can move through the vessel wall leading to infiltration or extravasation. Reducing catheter microtugs and micromovements with proper securement will help reduce this risk.
A catheter that moves back and forth and up and down within the vessel causes friction which can trigger inflammatory response in the vessel known as Mechanical Phlebitis.
Catheters that are secured in a manner that pushes the catheter hub down onto the skin can cause device-related pressure injury.
Mural thrombus formation may occur when the catheter moves and rubs up against the vein wall. Keeping the catheter as stable as possible helps to reduce this risk.
Insertion Site Infection
In addition to poor prepping, micropistoning of the catheter and migration of skin flora into the insertion site is a major cause of insertion site infection.
In PICC lines movement of the catheter tip out of the SVC can force the need to pull and replace causing loss of use, delayed infusion, and another insertion procedure. Strong and stable securement helps reduce this risk.
IV failure creates problems for patients,
healthcare professionals, and hospitals.
Patients can experience anxiety and stress of placing or re-siting the catheter, delay in therapy, pain, and complications.
Healthcare professionals experience re-insertion anxiety too. Having to explain to the patient they are getting another stick, the struggle to find another good vein, and the additional contamination and needlestick risk are a lot for the already overburdened HCW.
Hospitals have to swallow the expense of supplies and labor and deal with patient satisfaction.
INS and CDC Guidelines
The Infusion Nurses Society recommends the use of an engineered stabilization device (ESD) to avoid dislodgement and movement-related complications. The INS also recommends avoiding tape, as it is not an effective alternative to an ESD.
The CDC recommends the use of a sutureless securement device to reduce the risk of infection for intravascular catheters. They also recommend covering the site with transparent dressing, which we incorporated into our all-in-one peripheral securement device. All of our devices adhere to these guidelines and help to reduce the risk movement-related complications.
Our IV Securement Solution
Clik-FIX Catheter Securement Devices
Starboard Medical’s Clik-FIX Catheter Securement Devices provide a solution to common catheter securement problems. Clik-FIX stabilizes the catheter in a manner that keeps it as motion free as possible thereby reducing the risk of complications associated with catheter movement.
At Starboard Medical, we design our products with patient care in mind. We try to minimize problems for patients, clinicians, and hospitals alike. All of our devices are made with a soft foam base to maximize patient comfort and help reduce the risk of pressure injuries from the catheter hub. Our devices are simple, easy to use, and secure.
We listen to customers, and we are constantly developing new products with cutting-edge features. We will be adding additional securement devices to our Clik-FIX line in the near future.
1.Rivera AM, Strauss KW, van Zundert AA, Mortier EP. Matching the peripheral intravenous catheter to the individual patient. Acta Anaesthesiol Belg. 2007;58(1):19-25.
2.Helm RE, Klausner JD, Klemperer JD, Flint LM, Huang E. Accepted but unacceptable: peripheral IV catheter failure. J Infus Nurs. 2015;38(3):189-203. doi:10.1097/NAN.0000000000000100
3.Moureau N, Chopra V. Indications for peripheral, midline and central catheters: summary of the MAGIC recommendations. Br J Nurs. 2016;25(8):S15-S24. doi:10.12968/bjon.2016.25.8.S15
4.Alexandrou E, Ray-Barruel G, Carr PJ, et al. International prevalence of the use of peripheral intravenous catheters. J Hosp Med. 2015;10(8):530-533. doi:10.1002/jhm.2389
5.Grau D, Clarivet B, Lotthé A, Bommart S, Parer S. Complications with peripherally inserted central catheters (PICCs) used in hospitalized patients and outpatients: a prospective cohort study. Antimicrob Resist Infect Control. 2017;6:18. Published 2017 Jan 28. doi:10.1186/s13756-016-0161-0
6.Inquire for data.