2.50
Hdl Handle:
http://hdl.handle.net/10755/602624
Category:
Full-text
Format:
Text-based Document
Type:
Poster
Title:
Ongoing Nasogastric Tube Verification: The Evidence
Author(s):
Decker, Roxy Lee; Black, Andrea Elizabeth; Black, Andrea Elizabeth
Lead Author STTI Affiliation:
Theta Theta
Author Details:
Roxy Lee Decker, rdecker118@capital.edu; Andrea Elizabeth Black
Abstract:
Session presented on Monday, November 9, 2015 and Tuesday, November 10, 2015: The ongoing verification of Nasogastric Tube location presents a challenging clinical dilemma and the risk to the patient of incorrect placement is grave.  Current practice demonstrates almost universal continuance of practices that have been demonstrated to be unsafe.  Chief among these would be the continued use of auscultation as a verification strategy. The purpose of this project was to examine the body of evidence using a structured Evidence-Based Practice (EBP) process to determine research based strategies.  The background search resulted in consistent recommendation for the use of X-ray for initial verification. In addition, this phase of the search also resulted in a recommendation regarding proper measurement of the tube length prior to insertion. These recommendations will be included with the recommendations made regarding ongoing verification. The evidence was searched using a PICO question: “In patients with NG tubes, how does pH testing of gastric aspirate affect verification of correct tube placement?”  The choice of the pH technique was selected based upon its consistent representation in the body of available evidence. Appraised evidence included primarily Level IV studies and Level VII expert opinion.  This issue appeared to have been intensively studied in the late 1990’s and early 2000’s, and therefore some of the selected evidence exceeds ten years. After synthesis of the evidence, six recommendations for practice were made related to initial placement technique, initial X-ray verification and ongoing verification.  The primary recommendation that would improve practice is the need to do pH testing of aspirate and one additional verification strategy every time the tube is accessed for care.  Current practice is auscultation of an air bolus, which the evidence supports as being unreliable and unsafe. This project, if disseminated, has the potential to improve patient safety by reducing the risk of untoward events related to displacement of the tube. The investigation indicates that more research is needed in identifying a consistently safe and reliable method for ongoing bedside verification of nasogastric tube placement.
Keywords:
Evidence-Based Practice; Nasogastric Tube; Verification
Repository Posting Date:
21-Mar-2016
Date of Publication:
21-Mar-2016
Other Identifiers:
CONV15EB2.9
Conference Date:
2015
Conference Name:
43rd Biennial Convention
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Las Vegas, Nevada, USA
Description:
43rd Biennial Convention 2015 Theme: Serve Locally, Transform Regionally, Lead Globally.`

Full metadata record

DC FieldValue Language
dc.language.isoen_USen
dc.type.categoryFull-texten
dc.formatText-based Documenten
dc.typePosteren
dc.titleOngoing Nasogastric Tube Verification: The Evidenceen
dc.contributor.authorDecker, Roxy Leeen
dc.contributor.authorBlack, Andrea Elizabethen
dc.contributor.authorBlack, Andrea Elizabethen
dc.contributor.departmentTheta Thetaen
dc.author.detailsRoxy Lee Decker, rdecker118@capital.edu; Andrea Elizabeth Blacken
dc.identifier.urihttp://hdl.handle.net/10755/602624en
dc.description.abstractSession presented on Monday, November 9, 2015 and Tuesday, November 10, 2015: The ongoing verification of Nasogastric Tube location presents a challenging clinical dilemma and the risk to the patient of incorrect placement is grave.  Current practice demonstrates almost universal continuance of practices that have been demonstrated to be unsafe.  Chief among these would be the continued use of auscultation as a verification strategy. The purpose of this project was to examine the body of evidence using a structured Evidence-Based Practice (EBP) process to determine research based strategies.  The background search resulted in consistent recommendation for the use of X-ray for initial verification. In addition, this phase of the search also resulted in a recommendation regarding proper measurement of the tube length prior to insertion. These recommendations will be included with the recommendations made regarding ongoing verification. The evidence was searched using a PICO question: “In patients with NG tubes, how does pH testing of gastric aspirate affect verification of correct tube placement?”  The choice of the pH technique was selected based upon its consistent representation in the body of available evidence. Appraised evidence included primarily Level IV studies and Level VII expert opinion.  This issue appeared to have been intensively studied in the late 1990’s and early 2000’s, and therefore some of the selected evidence exceeds ten years. After synthesis of the evidence, six recommendations for practice were made related to initial placement technique, initial X-ray verification and ongoing verification.  The primary recommendation that would improve practice is the need to do pH testing of aspirate and one additional verification strategy every time the tube is accessed for care.  Current practice is auscultation of an air bolus, which the evidence supports as being unreliable and unsafe. This project, if disseminated, has the potential to improve patient safety by reducing the risk of untoward events related to displacement of the tube. The investigation indicates that more research is needed in identifying a consistently safe and reliable method for ongoing bedside verification of nasogastric tube placement.en
dc.subjectEvidence-Based Practiceen
dc.subjectNasogastric Tubeen
dc.subjectVerificationen
dc.date.available2016-03-21T16:33:12Zen
dc.date.issued2016-03-21en
dc.date.accessioned2016-03-21T16:33:12Zen
dc.conference.date2015en
dc.conference.name43rd Biennial Conventionen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationLas Vegas, Nevada, USAen
dc.description43rd Biennial Convention 2015 Theme: Serve Locally, Transform Regionally, Lead Globally.`en
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