I have a question for anyone who can help me.
At our facility we xray all feeding tubes for placement verification. We had a situation where a dubhoff did not show up anywhere on the xray. The wire was left in. It was a 12 french by the way. The nurse is sure of gastric placement. We told the nurse to check by air bolus while we await a second xray to be completed and read. The charge nurse said you can never hear air through a dubhoff and to pull it and reattempt insertion. So my questions are this:
1. Can u not check placement (initial verification) by air bolus. I am not
saying to use air bolus instead of cxr, but as a initial verification.
2. If CXR confirms placement, then how do you check placement every shift,
before meds and feedings? Do you do a CXR every 12 hours (Just kidding)
Ive worked in facilities in the past where air bolus or ph testing was done as the only verification (dangerous, i now know). I believe there are facilites that probably do it. I could hear air easilty through a 12 or 10 french, even 8's....smaller, sometime difficulty arrose....
So is it just me, or do any of you hear air auscultation via dubhoffs?
P.S. Just to make sure everyone is clear, im not saying to do air bolus over xray verification.