Peripheral IV Catheters Fail Nearly 50% of the Time!

Earlier this year, Starboard Medical attended, CALIVAN, the local Southern California AVA Chapter Annual Conference. A big shout out to CALIVAN for putting on a great event full of fantastic education. The first presentation, The Cost of PIV Failure, presented by Judy Thompson, MSN, RN was an enlightening review about Peripheral IV Cannulation, the risks and costs associated with PIV, and risk reduction recommendations. Did you know that over 1 billion PIVs are sold annually and the average dwell time is between 1.25 and 1.5 days? That’s an awful lot of catheters and catheter days. If you’re a patient and need a peripheral IV, here are some facts you should know:

• PIVs have nearly a 50% failure rate, only 30% of PIVs last the entire treatment
• On the average, a patient will need 1.7 catheters to complete their treatment
• The average patient will get 4 pokes, and 2.18 attempts to complete an insertion
• Redness, pain, hematomas have become common place nowadays
• Before accessing the vein skin must be cleaned, then cleaned again with a disinfectant and allowed to dry
• Before accessing the placed IV’s needleless access connector, it should be swabbed and scrubbed with an alcohol prep pad for 15 seconds and allowed to dry

Placement of a peripheral IV catheter is the most common procedures a patient undergoes, yet because it is considered so common it doesn’t get as much care as other procedures may get. However, it really should! The 1st stick of a peripheral IV catheters costs the facility between $28-$51. Considering that it will take 2.18 attempts per insertion and on the average of 1.7 catheters per patient to complete treatment costs quickly add up. PIV complications add to this cost exponentially. PIV’s fail 50% of the time, so you can only image how much this impacts a facilities costs. Strong Vascular Access teams are now being implemented in some facilities and their presence is helping distribute the message asking for better practice and care for PIVs. Better practicing and care includes:

• Continued education on best practices for PIV insertion and maintenance
• Established vascular access teams
• Use of ultrasound guided PIV placement
• Compliance with “Scrub the Hub”
• Sterile Insertion
Catheter Securement – to minimize pistoning in and out of insertion site, wiggling, and inadvertent dislodgement
• Regular rounding and checking the catheter, the site, and dressing
• Collecting data, analyzing it and learning from it

One of the facts consistently addressed at these meetings is the need to properly secure the IV catheter and dress the site. Catheter stabilization is a two-step process which includes protecting the insertion site with a sterile dressing and stabilizing the catheter with an Engineered Stabilization Device (ESD) designed to stabilize the catheter. Part of the design should include attributes to reduce direct pressure from the catheter hub on the patient’s skin to help reduce the risk of pressure injury. Starboard Medical’s Clik-FIX “All in One” Peripheral IV Catheter Securement combines site protection, stabilization and a cushion for the hub in one device, helping reduce the need for add on dressings and tape. Click here to ORDER FREE SAMPLES. For product information including instructional videos and literature please visit our product page at