Hines, Sarah

Magee, Jenna

English

Digital Commons @ West Chester University

West Chester UniversityDigital Commons @ West Chester UniversityNursing Student Work Nursing2015Verification of Nasogastric Tube Placement inInpatient Populations: A Review of CurrentLiteratureSarah HinesWest Chester University of PennsylvaniaJenna MageeWest Chester University of PennsylvaniaFollow this and additional works at: http://digitalcommons.wcupa.edu/nurs_stuworkPart of the Critical Care Nursing CommonsThis Poster is brought to you for free and open access by the Nursing at Digital Commons @ West Chester University. It has been accepted for inclusionin Nursing Student Work by an authorized administrator of Digital Commons @ West Chester University. For more information, please contactwcressler@wcupa.edu.Recommended CitationHines, S., & Magee, J. (2015). Verification of Nasogastric Tube Placement in Inpatient Populations: A Review of Current Literature.Retrieved from http://digitalcommons.wcupa.edu/nurs_stuwork/19    Results What We Learned This literature review was completed as part of a BSN degree required research course. We were able to critique, analyze, and synthesize nursing and medical research articles to create a reasonable conclusion on how the information on nasogastric tube placement verification should be interpreted into clinical practice   Background Correct NG tube placement is essential to minimize risk of aspiration. Various methods of verification are used, however cost and nursing experience may dictate which is used more than the factor of reliability   Methods • West Chester University of Pennsylvania Francis Greene Library OneSearch database used • Limited to results from 2009-2015 • Search term: nasogastric tube placement verification • Three nurse authored • One physician authored Discussion • The findings of the four articles supported that x-rays are the most reliable method of placement verification • Also supported by the findings of three articles were pH and ultrasound-guided placements, with high sensitivities • Auscultation is not recommended to be used alone to verify placement, as show by  • Nurses may need more education on the most effective methods of confirming placement Acknowledgments Next Steps We would like to thank West Chester University, and Dr. Cheryl Monturo for facilitating this research as well as providing instrumental guidance and direction in the data collection and compilation process.  Sample Sample consisted of four peer-reviewed articles on NG tube verification • Boeykens, K., Steeman, E., & Duysburgh, I. (2014). Reliability of pH measurement and the auscultatory method to confirm the position of a nasogastric tube. International Journal of Nursing Studies, 51(1), 1427-1433.  • Chan, E., Ng, I., Tan, S., Jabin, K., Lee, L., & Ang, C. (2012). Nasogastric feeding practices: A survey using clinical scenarios. International Journal of Nursing Studies, 49(3), 310-319.  • Ellett, M., Cohen, M., Croffie, J., Lane, K., Austin, J., & Perkins, S. (2014). Comparing bedside methods of determining placement of gastric tubes in children. Journal for Specialists in Pediatric Nursing, 19(1), 68-69. • Gok, F., Kilicaslan, A., & Yosunkaya, A. (2015). Ultrasound-guided nasogastric feeding tube placement in critical care patients. Nutrition in Clinical Practice, 20(2), 257-260.   Determine the accuracy and usage of various types of placement verification, including: • X-rays • Ultrasound • pH • Auscultation Also determine the role of nurse preference and experience in choosing a verification method   Purpose & Aims Limitations  • Studies were conducted on different age groups • Lack of current research • One study was a pilot, had no supplemental studies to support   Verification of Nasogastric Tube Placement in Inpatient Populations: A Review of Current Literature Sarah Hines, SN, & Jenna Magee, SN, West Chester University    • More research – Follow-up on nursing survey, present findings of this study, and evaluate if the practices would change – Conduct a study to determine how patient preference effects which method is used • At this time, hospital policy should still be followed; policies may be altered due to findings  92.2 100 93 79 020406080100120Percent (%) Methods Sensitivities of Verification Methods X-Rays •Radiography was found to be the most reliable measure of placement •100% specificity •Used to confirm all other researched methods •Costly •Least commonly used by nurses Ultrasound •Ultrasound-guided placement was found to be reliable during the insertion of NG tubes •93% sensitivity •Able to reposition tubing while still in the process of inserting pH •pH was evaluated as a bedside method of placement verification •92.2% sensitivity •Less disruptive to client, cost-effective •Used most often by nurses Auscultation •Auscultation was used by nurses to confirm placement frequently in the past •79% sensitivity •Should not be used alone to verify placement, may be used to verify other methods •Used second most commonly by nurses   www.patientsafetyauthority.org www.patientsafetyauthority.org 

Verification of Nasogastric Tube Placement in Inpatient Populations: A Review of Current Literature

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Verification of Nasogastric Tube Placement in Inpatient Populations: A Review of Current Literature

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