RightSpotpH® SmallBore Indicator
Gastric acidity verification for NG/OG tube placement.
Used for NG/OG tubes 10Fr or less
- Published studies cite that 21-56% of tubes intended for the stomach are confirmed elsewhere in the body.*
- Nursing and Patient Safety Organizations are calling for the immediate discontinuation of auscultation to confirm tube gastric placement and use of pH as one of the indicators.**
- NICU babies are the most vulnerable, yet most US hospitals still use auscultation to confirm gastric placement. Studies show that NICU babies stomachs are acidified and it is possible to obtain aspirate.***
- The United Kingdome uses pH first line for their NICU population.****
Solution: RightSpotpH® SmallBore
The ONLY FDA cleared, CE Marked, CLIA waived product that uses pH to confirm gastric acidity for tubes intended to end in the stomach
RightBio Metrics pH indicators are a cost-effective way to confirm gastric acidity of tubes intended for the stomach. 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 mis-placement
- when there is a shift change
- prior to each feed/medication delivery.
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® SmallBore
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;
**ENA Clinical Practice Guideline (2015); AACN Practice Alerts (2005 & 2016); CHABlind Pediatric NG Tube Placement Patient Safety Alert (2012)
***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.
NHS Alert on Neonates, Reducing the harm caused by gastric feeding tubes under the care of neonatal units, (2005)
****NPSA Patient Safety Alert, NHS (March 2011)
Frequently Asked Questions
What is the primary function of the RightSpotpH® SmallBore Indicator
The RightSpotpH® SmallBore Indicator is designed to provide an immediate and accurate pH reading to confirm the placement of NG/OG tubes, ensuring they're properly positioned in the stomach, and is used for NG/OG tubes 10Fr or less.
Can the RightSpotpH® SmallBore Indicator
be used for neonates?
Yes, the RightSpotpH® SmallBore Indicator
Does using the RightSpotpH® SmallBore Indicator
reduce the need for X-ray confirmation?
Indeed, X-rays have historically been the traditional gold standard for confirming NG/OG tube placements. However, the use of X-rays carries inherent challenges. Firstly, patients are exposed to radiation, which can be concerning, especially when frequent verifications are required. Secondly, waiting for an X-ray and then for the interpretation can delay essential medical treatments, particularly in urgent situations. X-rays are also expensive. The SmallBore Indicator is an easy to use and radiation-free option.
How user-friendly is the RightSpotpH® SmallBore Indicator
for clinical staff?
The RightSpotpH® SmallBore Indicator
How frequently should the RightSpotpH® SmallBore Indicator
be used for NG/OG tube placement verification?
Before the introduction of any feeding solutions, medications, or other fluids, tube placement must be reassured. This is where the RightSpotpH® SmallBore Indicator
How does the RightSpotpH® SmallBore Indicator
contribute to patient comfort?
The quick, non-invasive nature of the RightSpotpH® SmallBore Indicator
Are there any special storage or maintenance requirements for the RightSpotpH® SmallBore Indicator
No, the RightSpotpH® SmallBore Indicator
Can the RightSpotpH® SmallBore Indicator
be used in diverse healthcare settings like ICUs, emergency rooms, and homecare?
Yes, its versatility makes it suitable for various healthcare settings, ensuring evidence-based tube placement confirmation in different environments. In the high-intensity world of Intensive Care Units, accurate and swift confirmation of tube placements is paramount. The stakes are high, with patients often in critical conditions, and there's little room for error. In contrast, the homecare setting presents its own set of challenges. Caregivers or family members might not have the extensive training typical of ICU or ER personnel. The intuitive design of the RightSpotpH® SmallBore Indicator