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The danger of tube misconnections – Tuesday Tube Fact

Did you know…?

It is common to see patients in the hospital with a feeding tube, an arterial catheter, and a central venous catheter, which all have the same connector. A misconnection is physiologically incompatible with life, and if enteral feeding is placed inside the IV line, it would be like concrete pouring into a patient’s heart.[1]

References:

  1. Simmons, Debra. “Keeping Everyone Safe: Tubing Misconnections.” The Oley Foundation, accessed 21 Feb. 2022, https://oley.org/page/DebSimmonsTubeMis

FDA Feeding Tube Warning – Tuesday Tube Facts

Did you know…?

The FDA has put out a warning & recommendation for pediatric feeding tubes. If your child is injured by a feeding set tubing, please report the event to the FDA. Your report, along with information from other sources, can provide information that helps improve patient safety.[1]

References:

  1. Pedersen, Amanda. “FDA Warns of Pediatric Feeding Tube Strangulation.” Medical Device and Diagnostic Industry, 8 Feb. 2022, https://www.mddionline.com/regulatory-quality/fda-warns-pediatric-feeding-tube-strangulation?ADTRK=InformaMarkets&elq_mid=20876&elq_cid=8727

Substances inadvertently administered-Tuesday Tube Facts

Did you know…?

In one study over a 5-year period, 95 incidents were reported to the National Reporting and Learning System in which substances were inadvertently administered through NG tubes into the respiratory tract, resulting in 32 patient deaths. [1]

References:

  1. Powers, J, Brown, B, Lyman, B, et al. Development of a competency model for placement and verification of nasogastric and nasoenteric feeding tubes for adult hospitalized patients. Nutr. Clin. Pract. 2021; 36: 517-533. https://doi.org/10.1002/ncp.10671

NG Tube Complications-Tuesday Tube Facts

According to recent reviews of tube insertions, the risk of misplacing an NG tube into the airway may reach 2% or higher when tubes are inserted blindly.[1]

References:

  1. Powers, J, Brown, B, Lyman, B, et al. Development of a competency model for placement and verification of nasogastric and nasoenteric feeding tubes for adult hospitalized patients. Nutr. Clin. Pract. 2021; 36: 517– 533. https://doi.org/10.1002/ncp.10671