RightSpotpH® ENFit Indicators
ENFit compatible gastric acidity verification for confirming NG/OG tube placement.
Used to validate placement of ENFit NG/OG tubes
PROBLEM:
Published studies cite that 21-56% of tubes intended for the stomach are confirmed elsewhere in the body.*
- US Nursing and Patient Safety Organizations have issued warnings to stop using auscultation and recommend the use of pH to confirm gastric placement**
- United Kingdom and most developed countries use pH first line to confirm NG/OG tube gastric placement and only use x-ray if pH is not conclusive.***
- In 2018 the US ASPEN will endorse and publish a Clinical Practice Statement that says to use pH first line and only use x-ray if pH is not conclusive.
NPSA Patient Safety Alert (March 2011)***
Higher rates of misplacement with x-ray
Solution: RightSpotpH®
The ONLY FDA cleared, CE Marked, CLIA waived product that uses pH to confirm gastric acidity for tubes intended to end in the stomach.
- Immediate results
- No x-ray/radiation exposure
- No daily QC requirements, no exposure to gastric fluids, accurate
Reimbursement: CPT Code 83986QW
Some think of using our pH indicators as an insurance policy to improve the safety of placing tubes with little to no added cost to the hospital. If your hospital is reimbursed for bedside glucose testing you may be able to get reimbursement for the RightSpotpH®
Single-use only. Latex free
*The Journal of Perinatal & Neonatal Nursing (2015) Following the Evidence. Enteral Tube Placement and Verification in Neonates and Young Children. Clifford, Patricia; Heimall, Lauren; Brittingham, Lori; Finn Davis, Katherine; Neonatal Intensive Care (2015) Validation Study of the RightSpot Infant pH Indicator for Verification of Feeding Tube Placement in the Neonatal Intensive Care Unit. Martin, Gregory C.; Wade, Christine.
**ENA Clinical Practice Guideline (2015); AACN Practice Alerts (2005 & 2016); CHABlind Pediatric NG Tube Placement Patient Safety Alert (2012)
***NPSA Patient Safety Alert, NHS (March 2011)
Join Industry Leaders
As more hospitals continually adopt ENFit technology to maximize patient safety, the RightSpotpH® indicator remains the most reliable choice for NG/OG tube placement confirmation. The RightSpotpH® indicator is ENFit compatible, and is increasingly becoming the international standard for confirming gastric tube placement. Below is a graphic showing ENFit conversion rates among top rated hospitals. With the combined reliability of ENFit connectors and RightSpotpH® indicators, healthcare professionals can achieve the true best practice for NG/OG tube placement.
Frequently Asked Questions
Why is gastric acidity verification essential for tube placements?
The primary concern during NG or OG tube insertion is to ensure that the tube has not been inadvertently placed in the trachea, leading to the lungs. Such a misplacement could lead to severe complications, like pneumonia, if any fluids or medications are introduced. Misplacements can be detected immediately, allowing for quick corrective actions. This immediacy is crucial in critical care situations, where every second counts.
How long does it take for the RightSpotpH® ENFit Indicator to verify tube placement?
The indicator is sensitive to pH changes and is calibrated to detect the specific acidity levels of gastric aspirate. Once the aspirate is introduced to the indicator, it immediately reacts, displaying the pH level. In critical care scenarios, where time is of the essence, the swift response of the RightSpotpH® ENFit Indicator
How cost-effective is using the RightSpotpH® ENFit Indicator compared to traditional methods?
The RightSpotpH® ENFit Indicator
Can the RightSpotpH® ENFit Indicator be reused?
The RightSpotpH® ENFit Indicator
Why is the RightSpotpH® ENFit Indicator considered a breakthrough in tube placement verification?
Traditional methods of tube placement verification are not ideal. X-rays are time consuming and expensive, and auscultatory methods can be dangerously inaccurate. The RightSpotpH® ENFit Indicator
How is the RightSpotpH® ENFit Indicator maintained and stored?
Typically, devices like the RightSpotpH® ENFit Indicator
Can the RightSpotpH® ENFit Indicator be used for both NG and OG tubes?
The RightSpotpH® ENFit Indicator
Is the RightSpotpH® ENFit Indicator suitable for patients of all ages?
The indicator capitalizes on a basic physiological principle — gastric acidity. Gastric acid production is a consistent feature across different ages, from neonates to the elderly, making it a reliable metric for tube placement verification. One of the most significant benefits is the enhancement of patient safety irrespective of age. The ability to quickly and accurately determine tube placement can prevent severe complications like lung aspiration, which can be particularly detrimental in vulnerable age groups like neonates and the elderly.