Dobhoff Tube Insertion - page 2

by infirmiere77 7,433 Views | 18 Comments

Hello nurses! Our hospital is currently reviewing our policy on the insertion of Dobhoff tubes (small-bore NG tubes used for feeding/meds) and I thought I would go to the best possible source for input. At our community... Read More


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    Every place I've worked RN can insert and X-ray done for placement. I don't see the difference between ngt and dobhoff. Ones smaller and both going to the same place
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    A Dobhoff, or any type of weighted tube, placed by stylet, cannot be checked for placement via "air burp" method. It must be checked via Xray, then we would place the patient on their left side for a while to allow natural peristalsis to advance it further if needed. You never "re-insert" the stylet, as you could puncture something this way. At least this is how we nurses did them when I worked at hospitals that allowed us to. A Dobhoff or duotube or whatever type of weighted tube, does not have suction capability, and is not the same thing as a regular sump-type tube. Actually the goal is for it to float on past the stomach, into the duodenum.
    chare likes this.
  3. 0
    Residents insert Dobhoffs at my hospital, with a KUB to verify placement. I work north of Boston.
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    We use corpaks and only ICU nurses can place them. Confirmed by KUB. We only. ever do dobhoffs if we can't get the corpak post pyloric for some reason-- the dh is placed in IR by a doc in that circumstance.
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    "random online opinions"? Tait, I generally enjoy your posts but really...how about real life experiences? Who says that EBP isn't being used and we are just helping to satisfy curiosity of current practices across the country...tha'ts why I come to ALLNURSES and the cartoons are pretty good too.

    I work on a Med-Surg (more Surg) floor in a teaching/Level 1 trauma/Magnet hospital in Illinois. Any floor nurse that has been signed off on the skill (as you would in orientation) can insert a Dobhoff. MD verifies placement via KUB. Gaurd-wire stays in until verified.
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    Quote from AJJKRN
    "random online opinions"? Tait, I generally enjoy your posts but really...how about real life experiences? Who says that EBP isn't being used and we are just helping to satisfy curiosity of current practices across the country...tha'ts why I come to ALLNURSES and the cartoons are pretty good too.

    I.
    I wasn't trying to be offensive and should have just left that off. You are correct that there are lots of great experiences here that are much more valuable than "random". I guess all my recent EBP work with school just left me thinking this wasn't the "best" place the OP had to gather information as they stated. But that doesn't mean it can't be A place to ask.

    When I did my practicum and capstone I just realized how eager (through presentations and meetings) the medical librarians were to help gather research and information. A vital resource that so few use.
    AJJKRN likes this.
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    Quote from betterlatethennever
    Every place I've worked RN can insert and X-ray done for placement. I don't see the difference between ngt and dobhoff. Ones smaller and both going to the same place
    Wut...Dobhoffs need to be in the second loop of the duodenum or at least close, they are not the same placement and have very different purposes.

    RNs at my hospital place them but if we can't get it, IR does.
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    It depends on your state's nurse practice act. In many states only MDs can insert anything with a stylet due to the risk for perforation.
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    first, DobHoff is a brand name. There are various types of weighted tubes. We had an incident a few years ago where a brand new to us was inserted in the OR. Of course the OR nurses throw the paperwork away that comes in the package. The ICU nurses assumed since it had two ports it could be used for meds + feeding as well as IV fluids. WRONG. The package clearly stated no meds in these ports, but who knew? Patient had to return to surgery. Since then we have them inserted in special procedures (radiology) with guided imaging. Not just that type, but every weighted tube. There is a lot of guessing going on otherwise.
    LadyFree28 likes this.


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