SPIV Module 2 Placement PICC

PICCs, CICCs and midlines – with adhesive ESD

SecurePortIV introductory video

The benefits for use on Mid and Central include:

  • Puncture closure by applying a protective barrier
  • Minimizes oozing at puncture site by creating a haemostatic barrier.
  • Infection prevention by immobilizing and killing bacteria
  • Enhanced securement of the catheter
  • Prevents micro movements of the catheter

Application guide for Mid and Central lines.


Hints and tips

· Always ensure the site has completely stopped oozing, prior to application, monitor for at least 15 seconds then apply.

· Hold the applicator vertically and squeeze the ridged portion until a tiny droplet has formed.

· Less is more!  The less product you apply the quicker it dries, 1-2 tiny drops is usually enough to seal the insertion site.  If you flood the insertion site with product it takes many minutes to dry, which may allow strike through bleeding to occur.

· Do not touch the applicator to the skin, instead aim to touch the droplet to the catheter skin junction

· Do not allow the droplet to fall onto the insertion site, instead always touch it to the catheter skin junction.  When applied in this way you will see the product be drawn down into the insertion site and run around the line.

· To aid adhesive dressing securement you may use the remaining product as a skin prep.

Activating SecurePortIV applicator

PICCs, CICCs and midlines – SecurePortIV only

PICCs, CICCs and midlines – with SecurAcath

PICCs, CICCs and midlines – with sutures

Peripheral cannulas and arterial lines

Stopping the Bleeding


Removal of the product occurs naturally with skin sloughing, the bond will lift after 5-7 days.

If early catheter removal (or line repositioning) is required  there are two options for removal:

1. Apply a sterile adhesive remover pad, (or gauze soaked in removal product) for 30 seconds, this will dissolve SPIV.

2. For removal without an adhesive remover:

· Apply firm pressure with fingers either side of the catheter.

· Lift the catheter up from its resting position and flip back on itself (opposite position to resting).

· Move the catheter from side to side, this will help to release the top epithelial layer (think of it as exfoliation, it will not cause any trauma or pain).

· Return line to neutral, ensure the skin is tethered with your free hand, apply steady gentle pressure to retract the catheter.