What is the recommended method for securing a CVAD?

• A. Using adhesive tape only
• B. Using a securement device
• C. Using gauze and tape
• D. Using a compression bandage

Answer: (B)

The recommended method for securing a central venous access device (CVAD) is through the use of a securement device. This approach is favored because securement devices are specifically designed to stabilize the catheter and minimize movement, which helps reduce the risk of complications such as accidental dislodgement, infection, or thrombosis.

Securement devices often provide a more reliable and consistent hold compared to other methods, enhancing patient comfort and safety. They are also made from materials that are often bio-compatible and designed for easy application and removal.

While adhesive tape might seem like a simple option, it may not provide sufficient stability over time and can lead to skin irritation. Gauze and tape can be useful but may not effectively control movement as well as a securement device. Lastly, a compression bandage is typically not warranted for securing CVADs and may interfere with proper catheter function or access. Thus, the use of a securement device stands out as the best practice for ensuring the safety and effectiveness of CVADs.