Objective Standardize practice patterns and improve consistency in procedure documentation in ED management of Small Bowel Obstruction (SBO) Significant practice variability exists among ED providers for SBO management, specifically in regard to utilization of diagnostic imaging as well as rates of NG tube (NGT) placement and subsequent documentation Data review performed by our group demonstrated that of all NG tubes placed, only 61% were documented Wide range of practice patterns for diagnostic imaging (see graphics in Results