When choosing an infusion set for your patient, a number of factors should be taken into consideration:
1. Soft catheter or steel needle – A soft catheter may provide more comfort for the patient during wear. Also, both patients and healthcare workers are not exposed to the needle in case it becomes dislodged during wear.
2. Good and comfortable adherence to the skin - Many patients have delicate skin, so an integrated and skin friendly adhesive can help ensure the set is attached correctly and comfortably.
3. Quick and easy insertion technique – The infusion set is intuitive and simple to use, minimizing insertion technique errors and making sure the set is used correctly.1,2
4. Insertion site options - Finding the appropriate insertion site can help prevent the set from dislodging and minimize discomfort for the patient. Regularly changing sites using a rotation pattern supports skin healing and minimizes the risk of site irritation.
1. Needle safety – Needle safety devices help minimize needle stick injuries and related traumas.
2. Tubing length - Long tubing makes it possible to administer the medication without disturbing the patient. Short tubing, on the other hand, is less likely to tangle when disconnecting from the pump and less medication is wasted in the tubing.
1. D020-000144 Summative Usability Test Report, August 2017, Data on file, Unomedical a/s, 2. User preceptions and preferences using the neria guard
infusion set compared with conventional infusion sets indicated for the treatment of Pain, Parkinsons Disease, primary immune deficiencies, Thalassaemia and mild/ moderate rehydration (Hypodermoclysis), April 2019, Data on file, Unomedical a/s.
Use an insertion pad to practice the insertion technique and get familiar with the product before use.
Watch the instruction videos on this page.
Consider using an infusion set with automatic aid for insertion, for instance neria™ guard.
You may have hit a nerve or a muscle. Remove the infusion set and insert a new one at a different site. Make sure that the site you use has sufficient fatty tissue (so you can pinch an inch of skin).
Check the site of the infusion set. Is the infusion set inserted correctly? Is anything, for instance clothing, interfering with the infusion set or site?
Choose a different site for the infusion set and seek advice on how to insert the infusion set correctly. Consider choosing another catheter material and/or catheter length.
Many factors can influence the condition of the patient's skin. To minimize skin complications, consider:
- cleaning the skin and hands thoroughly prior to insertion
- using more areas for insertion, for instance the lower back and thighs
- using a rotation pattern to avoid re-using of the same site
- avoiding sites which already have site irritation or nodules
- using a site that does not interfere with clothing, belts etc.
- massaging the infusion site prior to insertion
- changing catheter material (from steel to soft), length or insertion technique.
Remove the infusion set and insert a new one at a different site.
Remember to massage the adhesive onto the skin.
Reason for why the adhesive is not sticking:
- Excessive sweating
- Warm and humid environments and hot summer weather
- Insertion site may be oily, have perfume or lotion or is not dry and clean
Gently lift the adhesive around the edges and pull the needle or cannula straight out. Be careful not to bend the needle.