Development of a clinical practice guideline for testing nasogastric tube placement

Sue Peter, Fenella Gill

Research output: Contribution to journalArticle

18 Citations (Scopus)

Abstract

PURPOSE. A Perth metropolitan hospital group standardized changes to nasogastric tube placement, including removal of the "whoosh test" and litmus paper, and introduction of pH testing. DESIGN AND METHODS. Two audits were conducted: bedside data collection at a pediatric hospital and a point-prevalence audit across seven hospitals. RESULTS. Aspirate was obtained for 97% of all tests and pH was ≤ 5.5 for 84%, validating the practice changes. However, patients on continuous feeds and/or receiving acid-inhibiting medications had multiple pH testing fails. PRACTICE IMPLICATIONS. Nasogastric tube placement continues to present a challenge for those high-risk patients on continuous feeds and/or receiving acid-inhibiting medications.

Original languageEnglish
Pages (from-to)3-11
Number of pages9
JournalJournal for Specialists in Pediatric Nursing
Volume14
Issue number1
DOIs
Publication statusPublished - 1 Jan 2009

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