Which practice best supports reducing complications from IV lines in the NICU?

• A. Maintaining line patency with sterile dressings and minimizing manipulations.
• B. Frequent line removal and reinsertion every shift.
• C. Using non-sterile dressings.
• D. Leaving line unattached to prevent obstruction.

Answer: (A)

Maintaining the line’s patency with sterile dressings and minimizing manipulations best reduces complications in the NICU because it directly limits the ways infection and line trauma can occur. When dressings are sterile and changes follow aseptic technique, the insertion site stays clean and protected, reducing the chance that bacteria will enter the bloodstream through the line. Keeping manipulations to a minimum means fewer opportunities for contamination, dislodgement, or disconnections that can lead to infiltration, air embolism, or line failure.

Frequent removal and reinsertion, using non-sterile dressings, or leaving a line unattached all raise the risk of infection and mechanical complications and do not support secure, reliable line function. Therefore, prioritizing sterile dressing maintenance and limiting handling is the safest, most effective approach to reduce IV-related problems in neonates.