A system and method for deterring potential illicit use of extended-installations of catheters associated with patient care. A pair of legs are moveably associated together to collectively define a needle-defeating pathway between a pair of scissoring, offset, pinching surfaces disposed on mating surfaces of the legs when the legs are closed and clamped to an indwelling catheter. A single-use tamper evident locking system both maintains the legs closed and provides tamper evidence when opened, such as by disabling the locking system from further locking operation.