Development of a clinical practice guideline for testing Nasogastric Tube Placement

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 poin...

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Main Authors: Peter, S., Gill, Fenella
Format: Journal Article
Published: Wiley Periodicals 2009
Subjects:
Online Access:http://hdl.handle.net/20.500.11937/14049
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author Peter, S.
Gill, Fenella
author_facet Peter, S.
Gill, Fenella
author_sort Peter, S.
building Curtin Institutional Repository
collection Online Access
description 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 < or = 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.
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spelling curtin-20.500.11937-140492017-09-13T15:54:09Z Development of a clinical practice guideline for testing Nasogastric Tube Placement Peter, S. Gill, Fenella pH aspirate children nasogastric tube testing 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 < or = 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. 2009 Journal Article http://hdl.handle.net/20.500.11937/14049 10.1111/j.1744-6155.2008.00161.x Wiley Periodicals unknown
spellingShingle pH aspirate
children nasogastric tube testing
Peter, S.
Gill, Fenella
Development of a clinical practice guideline for testing Nasogastric Tube Placement
title Development of a clinical practice guideline for testing Nasogastric Tube Placement
title_full Development of a clinical practice guideline for testing Nasogastric Tube Placement
title_fullStr Development of a clinical practice guideline for testing Nasogastric Tube Placement
title_full_unstemmed Development of a clinical practice guideline for testing Nasogastric Tube Placement
title_short Development of a clinical practice guideline for testing Nasogastric Tube Placement
title_sort development of a clinical practice guideline for testing nasogastric tube placement
topic pH aspirate
children nasogastric tube testing
url http://hdl.handle.net/20.500.11937/14049