SafeBreak Vascular was designed with the sole purposes of preventing the accidental removal of intravenous lines in both adults and pediatrics. Accidental dislodgement rates for peripheral IVs are 10.6% in adults, and 7.6% for CVC/PICC lines. The cost of IV dislodgement is estimated to be over $1Billion annually in the US, and pediatric patients are known to incur multiple sticks and higher overall IV expenses. Vascular depletion is a growing issue, as is Medical Adhesive Related Skin Injury, both of which acutely impact pediatric populations. In adults, published data looking at 15,000 PIVs identified an overall IV complication rate of 47% with conventional catheters (phlebitis, infiltration, leaking dislodgement, etc.) (Schears 2006). Powell, Tarnow and Perucca (2008) compared rates of phlebitis among PIV catheters left dwelling for different amounts of time and found a positive correlation between indwell time and phlebitis, however Ascoli, Deguzman and Rowlands (2012) found that there was no difference in complication rate between PIVs dwelling for 72-96 hours and those dwelling for greater than 96 hours. The exact rate for pediatric infiltration is hard to nail down, with Pettit (2003) noting that infiltrate rates vary from 23% to 78%, often with long-term sequelae. However, the literature consistently reports that the pediatric population is at significant risk for infiltrations, and the outcome of such events can be devastating to the child, parents, and health care team (Doellman et al., 2009). In the most general sense, the SafeBreak relieves dangerous levels of tension felt by the IV line by creating an intentional breakpoint in the line. Similar to mag-safe laptop chargers and fuel hose breakaways for gas lines, the SafeBreak allows fluid to be infused while maintaining a sealed, sterile connection. Normal activities of daily living can be performed without the device separating, but as the tension on the device approaches 3.67 pounds of force (levels of force that threaten catheter patency and disrupt dressings), the device disconnects and seals off both sides. The device's separation force is strongest when the tension is built up gradually, but when exposed to a violent/fast pull on the line (falling, tripping), it's designed to separate at significantly less force. These more dangerous high speed forces would typically mean dislodgement was imminent, but the SafeBreak's anti-reconnect arms absorbs the tension and separate safely. There are three main scenarios in which the nurse would interact with the SafeBreak. 1. Installing a SafeBreak as a new IV line is inserted 2. Installing a SafeBreak in an existing IV line 3. Replacing a separated SafeBreak after activation. In a sterile manner, SafeBreak is threaded first onto the IV tubing side. Whether you're using gravity tubing or an infusion pump, prime the device until a drop of fluid is seen exiting the other side of the device. Once fully primed, the patient end of SafeBreak is to be threaded onto the patient's sterile needleless connector. Once fully installed, trace the line for kinks and initiate infusion. The use of a secondary piece of tape is recommended so that no more than 5 cm of slack exists between the edge of the secondary tape strip and the hub of the needleless connector. For IV push medications to be given during an ongoing infusion, nurses should use standard piggyback ports on the IV tubing proximal to the SafeBreak connection. If the nurse wishes to unthread SafeBreak to infuse directly into the needleless connector, the use of a dead end cap on the end of the SafeBreak is recommended.
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