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PA Reporting-Tuesday Tube Facts

References:

  1. Irving, S., Rempel, G., Lyman, B., Sevilla, W., Northington, L., Guenter, P. Pediatric Nasogastric Tube Placement and Verification: Best Practice Recommendations From the NOVEL Project. Nutrition in Clinical Practice. 2018. 33(6):921-927. 
  2. Wallace, S.C. Data Snapshot: Complications Linked to Iatrogenic Enteral Feeding Tube Misplacements. Pennsylvania Patient Safety Advisory. 2017. 14:1-60.

Never Event in England-Tuesday Tube Facts

Did you know…?

In England, misplacement of a naso- or oro-gastric tube in the pleura or respiratory tract that is not detected before starting a feed, flush or medication administration is considered a ‘Never Event’.[1]

Never events are defined as ‘serious incidents that are wholly preventable because guidance or safety recommendations that provide strong systemic barriers are available at a national level and should have been implicated by all healthcare providers’.[2]

References:

  1. NHS Improvement. Never Events list 2018; 2018. https://improvement.nhs.uk/documents/2899/Never_Events_list_2018_FINAL_v7.pdf. Accessed 15 September 2020.
  2. NHS Improvement. Never Events policy and framework. Revised 2018. https://improvement.nhs.uk/documents/2265/Revised_Never_Events_policy_and_framework_FINAL.pdf. Accessed 15 September 2020.

Acidic Fluids May Coagulate or Thicken Clogs – Tuesday Tube Facts

Did you know…?

The use of acidic liquids to clear a clogged feeding tube may make the problem worse.[1,2]

Enteral feeding proteins coagulate or thicken in an acidic environment.[1,2]

References:

  1. Dandeles LM, Lodolce AE. Efficacy of agents to prevent and treat enteral feeding tube clogs. Ann Pharmacother. 2011;45:676-680.
  2. Williams NT.Medication administration through enteral feeding tubes. Am J Health-Syst Pharm. 2008;65:2347-2357.

TubeClear System More Effective at Clearing Clogged Feeding Tubes

TubeClear System More Effective at Clearing Clogged Feeding Tubes

In a recent study published in Nutrition in Clinical Practice by Christopher M. Garrison, Ph.D., RN, CNE, the TubeClear system was found to be significantly more effective at removing clogs from feeding tubes than water or enzyme-based clog-clearing treatments.[1] While water flushes and Clog Zapper seemed to work sometimes, the TubeClear system worked nearly every time regardless of clog type (see Figure 1). In addition, the TubeClear system required less Active Nursing Time and Total Nursing Time than the water or Clog Zapper.

Based on this study, clinicians may save time by clearing clogs with the TubeClear system first.

Figure 1: The TubeClear System restored patency to feeding tubes 93% of the time during the study, compared to 33% and 20% for Clog Zapper and water treatments, respectively.

See TubeClear For Yourself!

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References:

  1. Garrison, C. M. Enteral Feeding Tube Clogging: What Are the Causes and What Are the Answers? A Bench Top Analysis. Nutrition in Clinical Practice. 2018. 33(1):147-150.

Clogs Can Happen in as Little as 2 Hours – Tuesday Tube Facts

Did you know…?

In this case study, one-third of patients who experienced a clog did so just 2-3 hours after the initial placement of the feeding tube.[1]

These tubes were cleared with the TubeClear system in approximately 15 minutes or less.

References:

  1. Belcher, M. “An Active Device for Restoring Patency in Clogged Small Bore Feeding and Decompression Tubes, Case Report Series.” 2016.