Nasoenteric Feeding Tube Placement in the Adult Patient: Safety and Competency

This 3-hour virtual course will provide clinicians an opportunity to be updated on the available nasoenteric tube placement technologies, and the recommended methods for tube verification and securement. A focus of the course will be to compare and contrast the available technologies from a safety and clinical applicability aspect. The last part of the course will discuss the ASPEN recommendations for a clinician competency program for the placement and verification of nasoenteric tubes in adults. The course supports the recent ASPEN Best Practices publication “ Development of a Competency Model for Placement and Verification of Nasogastric and Nasoenteric Feeding Tubes for Adult Hospitalized Patients” (Nutrition in Clinical Practice, June 2021).

Part 1: Nasoenteric Tube Placement (90 minutes)

Part 1 will consist of five (5) 10-minute presentations. The first one is on blind tube placement by a clinician which will be followed by 4 manufacturers of enteral tube placement technologies. These presentations will be followed by a discussion of the technologies from a safety and clinical applicability perspective by an expert panel. The session will conclude with a 15-minute question and answer session.

Learning Objectives

1. Identify the currently available enteral tube placement technologies.
2. Summarize important safety concerns with enteral tube placement.
3. Compare and contrast the available enteral tube placement technologies.

Faculty and Topics
Blind Placement Video
Christina M. Rollins, MBA, MS, RDN, LDN, FAND, CNSC

Expert Panel Discussion

• Mark H. DeLegge, MD, FACG, CNSP, AGAF, FASGE
• Jan Powers, PhD, RN, CCNS, CCRN, NE-BC
• Britta Brown, MS, RD, LD, CNSC
• Arlene A. Escuro, MS, RD, LD, CNSC, FAND, FASPEN

Sponsoring companies’ representatives:

• Avanos
• Cardinal Health
• ENvizion Medical Inc.
• PatCom Medical Inc.

Part 2: Nasoenteric Tube Verification and Securement (45 minutes)

Part 2 will include three (3) short (10-12 minute) presentations demonstrating the currently available enteral tube verification and securement methods, followed by an expert panel discussion and question and answer session.

Learning Objectives

1. Identify currently available enteral tube verification and securement methods.
2. Summarize the important safety concerns with enteral tube verification methods.

Faculty and Topics
Xray Verification
Mark H. DeLegge, MD, FACG, CNSP, AGAF, FASGE

pH, Electromagnetic, CO2, and Other Verification
Beth Lyman, MSN, RN, CNSC, FASPEN, FAAN

Securement
Carol McGinnis, DNP, APRN

Expert Panel Discussion

• Mark H. DeLegge, MD, FACG, CNSP, AGAF, FASGE
• Beth Lyman, MSN, RN, CNSC, FASPEN, FAAN
• Carol McGinnis, DNP, APRN-CNS, CNSC

Part 3: Clinician Competency (45 minutes)

Learning Objectives

1. Describe the ASPEN nasoenteric tube placement competency model.
2. Describe the importance of a clinician competence model for the safe placement of nasoenteric tubes.
3. Implement the ASPEN competency model in the practice setting.

Faculty and Topics
Need for Competency
Britta Brown, MS,RD, LD, CNSC

Use of ASPEN Competency Tool
Jan Powers, PhD, RN, CCNS, CCRN, NE-BC

Workshop Moderator
Peggi Guenter, PhD, RN, FAAN, FASPEN

This program is not available for CE credit.