SPIV Module 3 Placement PIVC

SecurePortIV introductory video

The benefits for use on peripherally inserted venous (PIVC’s) and arterial catheters 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 VADs
  • Prevents micro movements of the catheter

Application guide for PIVC’s and Arterial lines.

SecurePortIV™

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 increase catheter securement, you may apply product under the catheter hub.

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

Activating SecurePortIV

Peripheral cannulas and arterial lines

Removal

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

If early catheter removal 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 throughout the process to tether the patients skin.

· Slowly peel the catheter up straight from its neutral resting position to about 45 degrees.  This will ease away any product that may have been placed under the hub.

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

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