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Description

Lit Review: This evidence-based practice (EBP) project aimed to evaluate current NG/OG tube placement and verification practices and determine alignment between institutional policy and the best available evidence to support safe pediatric feeding tube use. This project was conducted through the Evidence-Based Practice and Research Council’s (EBPRC) annual Practice with Purpose initiative, which engages nurses in applying the EBP process to clinical practice questions. A comprehensive literature review of approximately 20 peer-reviewed articles was conducted utilizing OVID Synthesis. Existing hospital policies related to NG/OG tube placement and care were also evaluated. Feedback from council members, consisting of nurses representing several inpatient areas, was collected to identify knowledge gaps, practice variability, and barriers to consistent verification. Findings were synthesized to develop recommendations for standardized practice. PICO: In pediatric nurses caring for patients with nasogastric (NG) and orogastric (OG) tubes (P), can a review of the current evidence (I), compared with existing practice and educational resources (C), inform the development of an educational infographic (O) to reinforce adherence to the organization's NG/OG tube placement verification policy (T) during the project period? Results: The project identified variability in current verification practices and gaps between institutional policy and evidence-based recommendations. Findings from the literature review informed the development of an educational resource that included recommendations for standardizing NG/OG tube verification practices. Council members participated in creating an infographic to support consistency in practice and patient safety. This resource was shared by council members in their work areas and was presented during a monthly General Session meeting open to all nurses in this healthcare system. This project highlights the critical role of nursing in preventing harm through adherence to evidence-based feeding tube verification protocols.

Publication Date

11-9-2026

Keywords

Pediatric nursing

Practice with Purpose - The Pediatric NG-OG Tube Safety Hierarchy

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