bennyboy

I was the one who developed the policy and it has been going well in our inpatient units but not in the ER. One occurence recently was: A Small Bowel Obstruction, NG placed, sucked 1500ml of fluid out and the pH is higher due to it originating in the bowel. They knew it wass in because of the amount of fluid, but the pH is too high. My policy states that confirmation will be made by pH only, and radiography can be sought if placement is still in question. Do you think there can be something added, like waiting a certain amount of time and rechecking?

Hello--I am new to this site so take it easy on me. Does anyone out there use pH testing of gastric contents to confirm NG placement. What if you know it is in the stomach but you pH is too high? Does your policy state to check again in an hour? Does it state you can hook up to suction? Thanks for the input!!!