Lesson Summary

Multiple methods exist for securing central lines due to their use for days or weeks, with sutures being commonly used despite recommendations against them by the Infusion Nurses Society.

Here are important securement points to consider:

• Adhesive securement devices offer alternatives to sutures and reducing the risk of infection, needle stick injuries, and biofilm growth.
• Integrated securement devices combine dressing and securement technology for improved adhesion,
• New systems like the SASS or tissue adhesives such as cyanoacrylic glue offer promising options.
• Tunneled catheters have specialized securement mechanisms under the skin, involving cuffs for anchoring and forming subcutaneous anchors.

It is important to know when and how to change dressings:

• Dressings should be changed if they are loose, soiled, dirty, or if a significant amount of blood is present.
• It is recommended to change dressings every seven days,
  • gauze dressings requiring a change every 48 hours
• Ensuring proper coverage around the insertion site with chlorhexidine pads, antimicrobial solutions, and skin preps to prevent infection

Adequately dressing and securing central lines is vital to prevent dislodgement, patient risks, and increased costs associated with line replacements.

Utilizing tubular stockings or arm coverings can assist in protecting dressings and catheters, while rolled bandages are not recommended by the Infusion Nurses Society for securing dressings.