Gastric acidity verification for NG/OG tube placement.
Used for NG/OG tubes >10Fr
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
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)
Frequently Asked Questions
What is the most effective method to check OG tube placement?
The most reliable method to check OG tube placement is through gastric pH testing. The RightSpotpH® Indicator allows for immediate and accurate verification, ensuring the tube is in the right spot within the stomach.
How does the RightSpotpH® Indicator assist with NG tube insertion?
When conducting an NG tube insertion, it's crucial to confirm that the tube is correctly positioned in the stomach. RightSpotpH® Indicator uses gastric pH testing to swiftly and reliably verify that the NG tube is not mistakenly placed in the lungs or other areas.
Why is gastric pH testing considered a superior method for tube placement verification?
Gastric pH testing leverages the stomach's natural acidic environment to confirm tube placement. With the RightSpotpH® Indicator, healthcare professionals can obtain instant, evidence-based results, minimizing risks and ensuring patient safety.
How does gastric pH testing improve the accuracy of checking NG tube placement?
The stomach's pH is distinctively acidic, usually between 1-5.5. By using the RightSpotpH® Indicator for gastric pH testing, clinicians can quickly determine if the NG tube is indeed in the stomach or mistakenly inserted elsewhere, ensuring correct tube placement.
What are the benefits of using the RightSpotpH® Indicator for OG tube insertion verification?
The RightSpotpH® Indicator offers a quick, reliable, and non-invasive solution to check OG tube placement. By measuring the gastric pH, it eliminates the need for multiple confirmatory tests and reduces patient exposure to unnecessary X-rays.
How does the RightSpotpH® Indicator enhance the safety of point of care testing during NG tube insertion?
The immediate feedback provided by the RightSpotpH® Indicator ensures that any misplacement during NG tube insertion is detected promptly. This rapid confirmation at the point of care testing reduces potential complications and ensures a higher standard of patient safety.
Is the RightSpotpH® Indicator suitable to check NG tube placement and check OG tube placement alike?
Absolutely! The RightSpotpH® Indicator is versatile and designed for compatibility with both nasogastric (NG) and orogastric (OG) tubes, offering a comprehensive solution for tube placement verification.
Why is it vital to rely on evidence-based methods like gastric pH testing during tube insertion?
Evidence-based methods like gastric pH testing with RightSpotpH® Indicator provide tangible, real-time data, ensuring clinicians make informed decisions. This reduces the chances of clinical errors, improving overall patient outcomes.