Registered Nurses' Association of Ontario

Adjuncts to Secure VAD

  • The following adjuncts can be used to further secure the VAD:
    • Tape and/or sterile surgical strips;
    • Sutures;
    • Securement devices; and
    • Stabilization dressings: specially designed securement and dressing products.
  • Tapes
    • Without obscuring the insertion site, the catheter hub can be secured with tape or sterile surgical strips as long as the tape is not applied directly to the catheter-skin junction site.
    • Do not use pins of any kind to secure a device as this can damage the device and subsequently interfere with therapeutic outcomes for the client.
  • Sutures
    • Sutures may be used to secure the hub of the catheter to the client’s skin.
    • Suturing the catheter increases the risk of needle stick injuries to the health care provider.
    • The Occupational Safety and Health Administration recommend using engineering controls as one option to secure medical catheters.
  • Securement Devices
    • These devices are designed to reduce complications associated with suturing including needle stick injuries and client infection.
    • Securement devices must be changed at least every seven days.
  • Tubing can be looped to relieve tension and is secured with tape independent of catheter tape, thus preventing dislodgement of the catheter by an accidental pull on the tubing.
Clinical Management
Care and Maintenance to Reduce Vascular Access Complications
Point of Care Resources