My previous hospital was big on developmental care so we had the tubes that could stay in for a week at a time. Whenever a baby had no respiratory problems but needed gavage feedings we would put down an NG tube using either Hy-Tape or a transparent occlusive dressing (like Tegaderm or Opsite). If the baby had a nasal cannula we'd put down an OG tube and tape it to their upper lip (like a mustache) instead of their cheek or chin because they seemed to stay in better than taping them on their cheek.
In each case, we'd place a piece of either Hy-Tape on the skin (or occlusive dressing) and then lay the NG/OG tube on the piece of tape and then place another piece of tape/occlusive dressing on top of the tube. (We'd use two pieces of Hy-Tape or two pieces of occlusive dressing... does this make sense?)
If the baby had an NG tube, when replacing it we'd use the opposite nare the next time and tape on the other cheek in order to let the skin have a rest. The good thing about Hy-Tape is the tape often continued to stick well even with slobbery babies who dribbled milk on their chin (when the tape was for an OG tube taped on their chin). Using occlusive dressings on the chin never worked too well because milk would ooze inbetween the two pieces of dressing and became gross pretty quickly. As long as we removed the occlusive dressings properly (by pulling from opposite ends in a pulling-out-horizontally maneuver, the tegaderm never caused any problems. Each box of Tegaderm has a leaflet describing what I'm talking about....
My new hospital only uses OG tubes and replaces them every 24 hours. They also only use silk tape. The silk tape never causes skin problems but also hardly keeps the tubes in place for even 3 hours. We are forever replacing the tape and praying the babies don't pull the tubes out. Actually the weight of the tubes and miniscule movement pulls the tubes slowly out... silk tape is not effective at all for keeping OG tubes in place unless they are taped over the top lip with a tail wrapping around the tube (like when taping ET tubes). Obviously my new hospital has little regard for developmental care. :angryfire
Enough of my soapbox!
I love this thread! I love learning better ways to do things and how other units work. I enjoy this allnurses site so much!