1. Introduction to SecurAcath Care & Maintenance

Care and maintenance

Line care is fast and easy with SecurAcath.

360˚ degree cleaning is possible without the risk of line dislodgement or migration and pistoning is minimised.

 

SecurAcath dressing change vs adhesive fixation device.

Gentle on patient’s skin

Medical Adhesive Related Skin Injury (MARSI) is reduced when using SecurAcath in comparison to adhesive securements as the occlusive clear film allows the skin to breath and is atraumatic when removed correctly.

Dressing removal

Use a low and slow approach to clear film removal in line with manufacturers recommendations.

 

Stretch dressing horizontal to the patients skin

Quick Tip:  When removing CHG gel dressings; squeeze saline underneath the dressing to quickly soften the gel.

Cleaning

Heavily soiled lines that are crusted with dried blood or CHG gel residue are quickly cleansed by applying a sterile saline soaked gauze prior to using the chlorhexidine impregnated applicator.   The soak can be left in place without the line moving.

 

360˚ cleaning is achieved by lifting the line with no fear of dislodgment. This will not cause the patient any discomfort as the feet of the device are sat in the subcutaneous layer of the skin where there are no nerve endings.

The line must be lifted to 90 during every dressing change to loosen any granulation tissue growing around the feet.  This will make SecurAcath removal easier.

Lift the line straight up.

Do not twist or rotate the SecurAcath or waggle form side to side

Line care should be performed every 7 days/ when soiled or as per local policy.

Applying the clear film dressing

The clear film is applied loosely without stretching.  Stretching the dressing may cause discomfort and skin trauma.

Ensure the hub is covered by the dressing, this provides additional securement and stabilises the line preventing kinking or twisting of the line.

  • If using CHG gel dressings ensure the insertion site is covered by the gel pad.
  • If using CHG foam pads ensure the slit is underneath the SecurAcath.

Quick tip: Don’t forget to complete and attach your date label

Remember: Cover the hub with the dressing.

For longer external lines make a lazy smile (U-turn)

Reports of Pain

The line inserters are careful to place the SecurAcath so that the soft flexible feet sit comfortably in the subcutaneous layer of the skin where there are no nerve endings.  When properly placed, the patient will be unaware of the device, in the same way that they can not feel the line in the skin.

If SecurAcath has been improperly placed, the patient will experience pain at the insertion site and potentially referred pain to the nerve ending point as the feet of device irritate the nerve.Patients may describe the sensation as a sharp or shooting pain which may be aggravated by limb movement.  SecurAcath may be removed without moving or dislodging the line and an alternative method of securement used.   Contact your line insertion team for further support if you believe the SecurAcath is not placed deeply enough.

Patients may describe the sensation as a sharp or shooting pain which may be aggravated by limb movement.  SecurAcath may be removed without moving or dislodging the line and an alternative method of securement used.   Contact your line insertion team for further support if you believe the SecurAcath is not placed deeply enough.

Other causes of pain

Patients may feel some discomfort or tenderness following insertion of their line which should settle within a few days.

Application of CHG cleaning products may sting for the first few weeks until the insertion site has fully healed.

Reports of pain under the SecurAcath may indicate that the dressing has been applied too tightly.  A looser application of the clear film will relieve this.  If there are signs of skin injury contact your line insertion team for offloading advice.

If you suspect thrombus or infection contact your line/medical team immediately.