Reply To: NG Tubes

  • Kelly ONeill

    June 4, 2015 at 10:46 am

    We verify placement with pH. If pH cannot be verified (ie: they are on certain medications that change the pH and reduce acid) then we verify by xray.

    We use pH paper (Hydrion Insta Check) for testing. Nurses do an anual competency by our lab standard point of care testing guidelines. We do quality control testing daily utilizing a Buffer Solution with a pH of 4 as our control solution.

    We had been still teaching families the swoosh method for verification, but will be moving to pH testing for them as well in the next few months. Our Home Care is leading that change.

    Kelly O’Neill, BSN,RN,CPON
    Children’s Mercy Hospital
    Kansas City, MO

    United States

    Original Message:
    Sent: 06-03-2015 03:13 PM
    From: Mary Lynn Rae
    Subject: NG Tubes

    This message has been cross posted to the following Discussions: Nurse Educators and APHON Open Forum .

    Questions on Nasogastric Tubes

    1. How does your institution verify and check NG tube placement?
    1. Do you still do use the “swoosh” method or do you use pH testing?
    1. If you utilize pH testing for verifying placement, what product do you use? Do you perform quality control testing on pH strips? Do nurses have to complete a competency?
    1. How are families taught to verify NG placement at home and if so what do you teach them (swoosh or pH)?

    Mary Lynn Rae, CPHON, MSN, RN
    Ann & Robert H. Lurie Children’s Hospital of Chicago
    Chicago, IL
    United States