IV securement

We use infant IV Tegaderms plus a little clear tape if needed. Usually with a Posey around an arm/foot board, or a piece of gauze underneath if it's a scalp stick.

Tegaderm, 1/2inch silk tape. Maybe a little gauze if the hub is rubbing weird. I'll take the whole thing down and re-dress if I see it wrapped in that awful one inch plastic tape. Hard to see under it, saw a kid with an awful infiltrate who nearly lost his foot partially due to that tape.

Just a general question about what everyone's ways of securing IV's are. We are looking to change our practice but would like to see pros cons from everyone. What do you use?? Stat Lock, SorbaView, tape, other??

We were discussing this topic at work yesterday. The PICU uses Stat Lock and we use tegaderm and silk tape. We are going to push the idea of trialing the stat lock.

The stat locks are good on the big term kids but not so much for the little ones, it makes the hub sit at a funny angle.

We use one piece of pink tape directly over the insertion site, another underneath (wrap under the wings of the hub and pull overtop), one more over the insertion site. Then we tegaderm. We board if needed and sometimes fold a 2x2 and place it underneath the wings to hold it up.

Wing of tape around the hub, tegaderm over the site, and then thin strips of tape and 2x2 as needed for skin protection. We use pink tape with skin prep for scalps, and paper tape for everywhere else.

We use a tiny piece of silk tape to secure the iv to the skin, but not covering the site. Then transparent tegaderm. Then several pieces of 1/2 inch silk tape and an armboard if needed. Some nurses do a little chevron too.

I'm a ER travel nurse and I've seen many, many ways of securing IV's and my personal favorite is tegaderm and one piece of tape, about 1/2 inch over the edges of the tegaderm to help keep things secure, makes for easy removal and it's less painful for patients. My second favorite way is the type with foam edges and a clear center, look like an egg shape around the clear portion and a straight edge on the top end of the egg; but many hospitals don't use them for some reason, many EMS do and I'll grab some from them when I can because I think they're great.

If it's a little one that might try to pull it out, I'll put it in their foot and wrap it with coban.

Less is more.