NG tube securement

[FlutterbyNurse]

i am on the unit practice council for the level ii nicu that i work in. we are currently looking at some of our current practices to see if we, as a unit, are following current best practice recommendations. one of the areas we feel we need improvement in is in ng/og tube securement. what, specifically, do you use/like in your units? also, is there a product currently made for that use in the neonatal world? we need names and manufacturer information so that we can decide what to use in our unit. thanks for your input!! :heartbeat

[ilstu99]

We use the Tegaderm Roll.

Using it effectively takes some getting used to, but I like that it comes off with little/no stress to the skin and that you can cut it to fit the baby with little waste.

Most of what I don't like about it has to do with poor application. IOW - user error, not product error.

[prmenrs, RN]

Haven't had to do this in a looonnng time, but I used to use a 3" piece of 1/2" adhesive tape, split lengthwise to the last ~ 1/2". Clean the nose well, put the non-split part on the nose, then barber-pole the ng tube, one side one way, the other the opposite way.

Hope that's clear enough. Can put another small piece across the nose, too.

[suzy253, RN]

after watching another nurse use steri-strips to secure the NG tube, I've been using them. Perfect size!

[BittyBabyGrower, MSN, RN]

We chevron a steristrip and then put a small piece of transparent dressing over it.

[elizabells, BSN, RN]

We use a strip of duoderm, mark the length with 1/2in pink tape, then secure it with a strip of tegaderm that's wider than the duoderm. It's a good size if you cut it lengthwise.

[Imafloat, BSN, RN]

We use duoderm to protect their skin with tegaderm over it to secure. If the baby is vented, and the NG is to gravity, we use a piece of cloth tape and tape it to the stick out stem part of their neobar. We tape it seperate from the ETT but on the same stem, if that makes sense.

[ilstu99]

We use duoderm to protect their skin with tegaderm over it to secure. If the baby is vented, and the NG is to gravity, we use a piece of cloth tape and tape it to the stick out stem part of their neobar. We tape it seperate from the ETT but on the same stem, if that makes sense.

We do that for OG's on vented kids. They get so....oopy.

[Pedi-Gree, BSN, RN]

I like to use a small, quarter sized piece of Duoderm and then a Tender Grip on top. The tube goes under the clear tape on the Tender Grip and is very secure.

[SteveNNP, MSN, NP]

My last unit used a device called "Cath-Lock" or something. It was a premade device made of a mustache shaped duoderm-type backing with a velcro tab on the top. You would place it on the chin, open the velcro, and then snap it back down, securing the catheter.

[preemieRNkate, RN]

We use steri-strips, usually. Not sure exactly what size, they're the smaller of the 2 sizes on our unit. They're in the red package (as opposed to the other size, which is blue). One as a chevron and then we turn the NGT up towards the cheek and put a second steri over that straight across. We do that on the clear NGT that stay in for 24 hours. For the silastic NGT that we use, sometimes we use steri-strips, sometimes duoderm, sometimes tegaderm. Depends on the nurse, and on the baby.

I guess that wasn't much help, since we don't have one specific way of securing tubes.