OGT securement in intubated patients

Penelope_Pitstop, BSN, RN · Dec 17, 2014

We, too, tape the OG to the ETT. I'm trying to think of another way and I simply cannot! I would be afraid to do mouth care if we taped OGs like NGs, for example.

Nalon1 RN/EMT-P, BSN, RN · Dec 18, 2014

We do it to the ET tubes also. You need to ask anesthesia how they would like the OG tubes secured. The need to help with a solution since they are causing the "problem".

Not sure what type of tube securment your using, any way to use that for securment while not being on the tube?

Here.I.Stand, BSN, RN · Dec 18, 2014

We too tape them to the ETT.

dah doh, BSN, RN · Dec 19, 2014

Tape them to ETT.

Guests · Dec 19, 2014

I tape it to the ET, too, but if I couldn't, I'd use a piece of Tegaderm to secure it at the corner of the mouth.

spacemonkey15 · Dec 19, 2014

We tend to use a film dressing to secure the OGT to the corner of the mouth, though it's rare we use them.

Esme12, ASN, BSN, RN · Dec 21, 2014

ETT...where else would they like them?

core0 · Dec 21, 2014

We usually, as a standard, tape the OGT to the ETT (still being able to visualize cm markers and tube size markers etc...).
Anesthesia, now, does not want anything taped directly to the ETT.
My question for everyone is, what is your standard for securing OGT's in intubated patients?

Why does anesthesia get any say in an ICU patient? How does anesthesia secure OGs when then send them from the OR? I would bet its taped to the ETT. We have a tube holder to secure the tube and then tape the OG to the ETT.

SubSippi · Dec 21, 2014

Why does anesthesia get any say in an ICU patient? How does anesthesia secure OGs when then send them from the OR? I would bet its taped to the ETT. We have a tube holder to secure the tube and then tape the OG to the ETT.

Right on.

We also tape to the ETT. In my experience, anesthesia has pretty much zero involvement with the patients once they leave the OR. So they can make their demands, but how would they even know?

Also, it's not an order, it's not a policy, it just their request at this point, right? Once they report off to you that patient is in your care, and it's your decision. I could see if the attending didn't want you to do it, but anesthesia? Give me a break!

JeffTheRN · Dec 21, 2014

I agree with everyone and we still continue to tape to ETT's until my boss tell's me not to. When anesthesia drops off a post op CABG or valve in the CVU, the OGT is free floating and not secured in any way, but they're usually extubated within a few hours or later that night anyhow. Thanks all.

holldog99 · Dec 22, 2014

I tend to think that if the OG is taped to the mouth or face, it would increase risk for DPUs.