Question 1: Please evaluate the following statement. “I am comfortable with our current technique for placing
small bore (i.e. dobhoff) feeding tubes at the bedside.”
Strongly
Disagree (1)
Disagree (2)
13.04%
3
13.04%
3
Neither
disagree nor
agree (3)
34.78%
8
Agree (4)
Strongly
Agree (5)
Total
Responses
Average
rating
21.74%
5
17.39%
4
23
3.17
Comfortable with Our Current Technique
40.00%
35.00%
30.00%
25.00%
20.00%
15.00%
10.00%
5.00%
0.00%
Strongly Disagree
Disagree
Neither disagree no agree
Agree
Strongly Agree
Question 2: Please evaluate the following statement. "When I am placing small bore (i.e. dobhoff) feeding tubes,
I am concerned that a complication may occur."
Strongly
Disagree (1)
Disagree (2)
4.17%
1
29.17%
7
Neither
disagree nor
agree (3)
16.67%
4
Agree (4)
Strongly
Agree (5)
Total
Responses
Average
rating
37.50%
9
12.50%
2
24
3.25
Concerned That A Complication May Occur
40.00%
35.00%
30.00%
25.00%
20.00%
15.00%
10.00%
5.00%
0.00%
Strongly Disagree
Disagree
Neither disagree nor agree
Agree
Strongly Agree
Question 3: Have you ever witnessed any complications from blind bedside feeding tube placement?
Witnessed a Complication
Yes
No
70.83% 29.17%
17
7
80.00%
70.00%
60.00%
50.00%
40.00%
30.00%
20.00%
10.00%
0.00%
Yes
No
Question 4: If yes to number 3, which complication(s)?
Lung placement with no further damage (i.e. tube was found in lung on x-ray but no damage caused)
75%
12
Pneumothorax
43.75%
Pleural Effusion
18.75%
Bronchopleural fistula
0%
Esophageal Perforation
0%
Pneumonia
18.75%
7
3
0
0
3
Lung Placement not identified by x-ray and tube feedings started
31.25%
Total Responses
5
16
Types of Complications Witnessed
80%
70%
60%
50%
40%
30%
20%
10%
0%
Lung placement
with no further
complications
Pneumothorax
Pleural Effusion
Bronchopleural
fistula
Esophageal
Perferation
Pneumonia
Lung placement w/
tube feedings
started
Question 5: If you have practiced at another facility that uses a different technique for bedside feeding tube
placement, please, briefly describe the technique.
radiology would come bring xray to bedside and place it, always.
tube feeds placed by MD only, at bedside (in unit) or in IR (stepdown/floor) under fluoro
Dobhofs would only be placed by IR or resident, NGT or OGT could be placed at the bedside by RNs
No
one facility administered Reglan prior to placement of weighted DHT
core track with guided bedside placement, I found to be more accurate without having to reposition tube as much.
placed in IR
I have used the Cortrack system which is an electromagnetic placement device to allow visualization of the tube as it is
inserted.
there was scope used to place it and only three RNs were certified to use it.