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    Development of a clinical practice guideline for testing Nasogastric Tube Placement

    Access Status
    Open access via publisher
    Authors
    Peter, S.
    Gill, Fenella
    Date
    2009
    Type
    Journal Article
    
    Metadata
    Show full item record
    Citation
    Peter, Sue and Gill, Fenella. 2009. Development of a clinical practice guideline for testing Nasogastric Tube Placement. Journal for Specialists in Pediatric Nursing. 14 (1): pp. 3-11.
    Source Title
    Journal for Specialists in Pediatric Nursing
    DOI
    10.1111/j.1744-6155.2008.00161.x
    ISSN
    15390136
    Faculty
    School of Nursing and Midwifery
    Faculty of Health Sciences
    Remarks

    Copyright © 2009 Wiley Periodicals, Inc.

    URI
    http://hdl.handle.net/20.500.11937/14049
    Collection
    • Curtin Research Publications
    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 < 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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