Why using evidence-based practice to confirm NG/OG tube placement is important:

In published studies, the misplacement rate of NG/OG (nasogastric/orogastric) tubes which are intended to end in the stomach is estimated to be up to 56%. US Nursing and Patient Safety are calling for the immediate discontinuation of auscultation, an archaic technique yet still widely used in the US to confirm stomach placement. The Global and US emerging best practice is to use pH first line for verification of proper tube placement in the stomach. NICU and Pediatric patients are the most vulnerable to misplacement because of the proximity of stomach to lungs.

Explore the RightSpotpH® Indicator Product Line

The RightSpotpH product line, which provide immediate confirmation of gastric acidity during NG tube insertion and orogastric tube placement

Solution: RightSpotpH®

The ONLY FDA cleared, CLIA waived product that uses pH to confirm gastric acidity for tubes intended to end in the stomach.

  • Immediate and accurate results
  • No x-ray/radiation exposure
  • No daily QC requirements, no exposure to gastric fluids
  • Individual packaging


Published studies show pH can be used in place of x-ray to confirm initial placement. In some hospitals x-ray is only used when pH is inconclusive.

Additionally, the pH indicators can be used:

  • when there is a suspected misplacement, displacement, or dislodgement
  • when there is a shift change
  • prior to each feed/medication delivery.
Individual packaging for the RightSpotpH indicator, which provides immediate confirmation of gastric acidity during NG tube insertion and orogastric tube placement

Frequently Asked Questions

Evidence-based practice involves using the latest scientific research and clinical evidence to make informed decisions about patient care. In the context of NG/OG tube placement, it ensures the safest, most effective methods are employed.

RightSpotpH indicators are designed based on the principle of pH testing. They offer quick, precise readings that align with evidence-based recommendations for accurate NG/OG tube placement confirmation.

Misplacement can lead to respiratory complications, infections, lung damage, or even death. Ensuring correct placement using evidence-based practices like pH testing is crucial for patient safety. Using the RightSpotpH indicator, NG/OG tubes are verified accurately using pH, ensuring that such complications do not arise.

While X-ray confirmation can be effective, this process exposes patients to radiation, is expensive, and can be uncomfortable. In comparison, pH testing is a non-invasive method that provides immediate confirmation without radiation exposure. Using the RightSpotpH indicator, healthcare professionals can eliminate the difficulties associated with X-ray scanning and still achieve accurate results.

pH testing is particularly beneficial when X-rays are not immediately available or feasible, such as in homecare settings, emergency situations, or when continuous tube placement verification is needed. The RightSpotpH indicator has been designed to be user-friendly, accurate, and inexpensive for the convenience of both patients and caregivers.

Using evidence-based practices ensures the most effective, safe, and current methods are employed, leading to faster recoveries, reduced complications, and overall better patient outcomes. In the case of NG/OG tube placement, this means using accurate pH testing (such as the results offered by the RightSpotpH indicator) as the standard for patient care.

The quick and non-invasive nature of the RightSpotpH indicator product line reduces the discomfort and stress associated with other verification methods, making sure that patients are given the peace of mind that they are receiving the best care possible.

Designed specifically to care to neonates, the RightSpotpH® SmallBore is intuitive, allowing NICU staff to obtain accurate readings swiftly, ensuring optimal care for patients in the NICU. Accurate NG/OG tube placement is especially crucial for these vulnerable patients, and that's why evidence-based practices like pH testing are additionally necessary in these settings.

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