A device for securing a medical implement, such as a catheter to a body of a patient. The device having an adhesive pad for securing the pad to the body of a patient. An adjustable plate is rotatable with respect to the fixed plate to secure a catheter. In some aspects, a pair of adjustable plates can be rotated with respect to the fixed plate. Tabs affixed to the fixed plate and the adjustable plate cooperate with each other to secure a catheter there between. The adjustable plate can be rotated so as to retain a catheter between the tabs. Complementary pawl and ratchet members are used to enable limited rotation of the plates with respect to one another and to fix the plates in a selected adjustment position.