PICC line maintenance is essential, and improper maintenance can cause all sorts of problems. The right catheter securement device should provide a certain level of security, placing it should be simple and not interfere with the PICC line or comfort of the patient, and it should be durable. The right catheter securement should provide excellent stabilization, prevent inadvertent movement, and prevent dislodgement. Clik-FIX is the right catheter securement.
As the title says, Starboard Medical’s Clik-FIX catheter securement was rated better than the market leading device. The study was presented at the Association of Vascular Access annual conference (with over 1000 clinician attendees) on September 16, 2018.
Rochelle Griffin (RN, BSN, CRNI) showed that there are significant performance differences between the novel securement device, Clik-FIX, and the leading IV catheter securement device in her presentation “Out with the Old or In with the New, Catheter Securement what Should We Use?” Her study was conducted to evaluate the clinical and patient experience using a new intervention compared to the hospital’s current securement device.
The clinical end user team for the study was comprised of 17 vascular access nurses responsible for PICC placement and maintenance at a four-hospital system representing a whopping 880 beds. Before the evaluation, data was collected via a survey tool to assess the current securement system and then training was provided on the new securement device.
For 1 month, all new PICC insertions and dressing changes were secured using the new intervention and after data was collected again using the survey tool. Griffin’s study surveyed staff on their experiences with the current and the new device related to placing and removing the securement device and maintaining the PICC lines.
According to the pre-evaluation survey, the current securement device is not without issues. A huge majority of the survey-taking nurses (90%) have at one time or another experienced skin tearing when removing the device, and half of them have experienced the device breaking apart. Over half of the nurses were worried about the upward motion required to unlatch the device, and almost a third of them reported having to use something other than their gloved hand to open the device (that’s not very hygienic…). Further, 40% of the nurses found the current device hard to unlatch, and half of them reported having experienced catheter movement or dislodgement.
After the nurses had a month to try out the Clik-FIX, they were surveyed again. The post evaluation survey of the Clik-FIX found that almost every single nurse (98% of them) did not experience skin tearing at removal, and not a single nurse experienced the device breaking apart. None of the nurses had to use anything other than a gloved hand to unlatch it, and a good portion of them (85.7%) found the Clik-FIX to be easier to unlatch. Lastly, not a single nurse had issues with movement or dislodgement.
In general, 75% of the nurses rated the Clik-FIX easier to place, 77.6% rated it having better securement properties, 73.3% found it to be more durable, and 47% found it to be better in terms of skin response. Overall, 77% of the clinical evaluations rated the Clik-FIX device better than their current, market leading, catheter securement device.
Griffin’s presentation concluded that Clik-FIX was well liked by the vascular access team, as well as by patients, and recommended it for use at their facilities.