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
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)
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.