Right Securement, Dressing, and Management

This chapter considers the role of securement and dressings in vascular access device (VAD) care, providing an overview of the background and how knowledge and research have evolved in this area. The complications of inadequate securement such as infection, migration, pistoning, catheter-associated skin injury (CASI), and/or medical adhesive-related skin injury (MARSI) are examined to understand contributing factors that lead to their development. Practices that enhance optimal securement and mitigate risks are discussed as part of the clinician’s role in the prevention of complications in our endeavor to reach our ultimate goal of achieving zero VAD complications.