The disclosed tube securement device (100) attaches to the patient's body (200) and to the tube (300), while allowing for a section of the tube to be detached from the tube securement device. The tube securement device comprises a backing (110) with adhesive coated sections (120, 130). The backing comprises a first end section (120), a second end section (130), and a midsection (140), separating the first end section from the second end section. The tube securement device further comprises a first adhesive (122) on at least a portion of the first major surface (112) of the first end section (120), a second adhesive (132) on at least a portion of the first major surface (112) of the second end section (130), and wherein the first major surface (112) of the midsection (140) is free of tacky adhesive.