Confirm NG/OG Tube Placement with RightSpotpH®
pH is the emerging US/Global Standard for confirming NG/OG tube gastric placement in the NICU.
Faster and much less expensive than x-ray, immediate results and no exposure to radiation.
Versatile, can be used in hospital or home environment to confirm tube placement without exposure to x-ray.
RightBio Metrics Wins A First Place Patient Safety Innovation Award for the RightSpotpH®.
Recipient of a Vizient Innovative Product Contract
Our Mission: Eliminate any harm caused by misplaced NG/OG tubes.
Safe Placement of NG/OG Tubes
Validating correct placement with pH is the standard of care in the UK and is emerging as such in the US.
- Published research states that up to 56% of blindly placed NG tubes intended for the stomach do not end in the stomach and their mis-placement can contribute to morbidity and mortality (Quandt. J, Pediatr Gastroenterol Nutr. 2009).
- Pediatric/NICU patients are most vulnerable to misplacement because their stomach and lungs are in close proximity
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Currently >70% of US Hospitals use auscultation to confirm placement
- No clinical evidence supports this method
- Nursing and Patient Safety Organizations are calling for the immediate discontinuation of auscultation. American Association of Critical Care Nurses (AACN), Children’s Hospital Association (CHA), National Patient Safety Association (NPSA)
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Emerging US and Global Clinical Practice based on published studies will be to use pH
Why RightSpotpH® vs. pH paper?
Regulatory Guidelines the RightSpotpH® addresses:
FDA/CLIA
- The RightSpotpH® indicators are the only pH products FDA Cleared and CLIA waived to assist in getting a pH reading of aspirate to help clinicians safely place tubes in the stomach.
- RightSpotpH® indicators do not expose the clinician to bodily fluids therefore do not require health care workers to use protective wear.
- RightSpotpH® makes it easier for your Point of Care/Laboratory to be compliant
- The RightSpot pH® is CLIA waived
- Does not have any regular quality control requirements
NICU Nurse Compares RightSpotpH® to pH paper
The attached photo shows a test I performed on a patient with continuous feeds. Patient vomited and pushed his OG tube out so a new tube had to be placed.
Tube was placed and PH was taken using RightSpotpH® indicator on 10 mL BD syringe. PH indicator immediately turned to a gold color closely matching that of 4.5 or less. I pulled several mL’s through indicator and removed indicator to place drops on PH paper. PH paper Lot # 208515 Exp 3/30/18 initially had zero color change. I took the attached photo several minutes later after finishing securing OG and the paper still had little to no change. The residual I pulled from patient stomach was tan/white partially digested formula.
Conclusion from initial use of RightSpotpH® indicator is that it is a much more accurate and reliable way to test PH. Without this indicator I would have had to rely on other means to identify placement of this tube.
I will continue to seek other opportunities to further evaluate this product.