This is part 2 of a 3-part series on sutures used as an improvised securement for external devices. After finishing this article, the reader will be able to:

  • Discuss the Needle Stick Prevention Act (NSPA).

  • Describe the components of the exposure control plan in the NSPA.

  • Explain acceptable off-label use of devices.

  • Recognize an action that can be taken to remove sutures as a securement option for vascular access devices (VADs).

Sutures are excellent for wound closure but are not intended to secure external devices. All sutures used as improvised securement for VADs are labeled for wound closure and general soft tissue approximation and/or ligation.

According to the US Food and Drug Administration (FDA):

If a device has been labeled for a certain clinical purpose, that means it has passed safety and efficacy standards for that purpose only.

Engineered securement devices (ESDs) have achieved FDA labeling because they...

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