Which action helps prevent dislodgement of a PICC line or central venous catheter?

• A. Secure line to prevent dislodgement
• B. Leave line unsecured to allow movement
• C. Reposition line by pulling on catheter
• D. Use a securement device and proper stabilization to prevent dislodgement

Answer: (D)

Preventing dislodgement comes down to resisting external forces and movement at the insertion site. Using a securement device plus proper stabilization provides a firm, reliable fixation of the catheter to the skin, which minimizes traction and accidental tugging as the patient moves. This keeps the catheter in the correct position, maintains patency, reduces the risk of accidental removal, and supports safer dressing changes and care.

Leaving the line unsecured invites movement that can pull the catheter out; repositioning by pulling on the catheter itself adds harmful force. Simply “securing” without a proper device may not offer adequate stabilization. The combination of a specialized securement device and proper stabilization best prevents dislodgement.