New Opportunities for Verification
of Enteral Tube Location Project
The NOVEL Project was launched to address an important issue—what is the best practice to verify nasogastric (NG) feeding tube location in pediatrics? NG tube misplacement can cause serious harm and/or death to patients. X-rays can be used to verify proper tube placement, but with pediatric patients, NG tubes can be removed several times a day. The use of x-rays to verify every tube placement can overexpose these patients to radiation.
NOVEL Videos – NEW!
The NOVEL Project task force has created two audience-specific videos highlighting best practices for inserting and verifying the placement of NG tubes in pediatric patients. Please use these videos to train clinicians and caregivers caring for pediatric patients.
These videos were made possible due to a generous grant from Cardinal Health.
Publications on NOVEL Project
Pediatric Nasogastric Tube Placement and Verification: Best Practice Recommendations From the NOVEL Project. Nutrition in Clinical Practice. 2018;33:921-927
Use of Nasogastric Feeding Tubes for Children at Home: A Template for Caregiver Education. Nutr Clin Pract. 2017;32 (6): 831–833.
Current Practices in Home Management of Nasogastric Tube Placement in Pediatric Patients: A Survey of Parents and Homecare Providers. Journal of Pediatric Nursing. 2017;33:46–53.
Use of Temporary Enteral Access Devices in Hospitalized Neonatal and Pediatric Patients in the United States. J Parenter Enteral Nutr. 2016;40 (4): 574–580.
Verifying NG tube placement in children. Nursing2015;45(10):8.
A Call to Action: The Development of Enteral Access Safety Teams. Nutr Clin Pract. June 2014; 29(3):264–266.
Nasogastric Tube Placement and Verification in Children: Review of the Current Literature. Copublished in Nutr Clin Pract. and Critical Care Nurse 2014; 29(3):267–276.
NOVEL Task Force
Formed in 2012, the NOVEL project task force:
- Works with biomedical engineers
and industry to develop non-radiologic method(s) to verify NG tube placement
and to allow for re-verification of placement
- Collaborates with specialty
nursing organizations to determine best practices for determining NG tube
location working with existing technology and accepted procedures such as pH
- Fosters the discovery of new
knowledge and science and its application to the field of nutrition support
- Disseminates knowledge that
improves clinical practice pertaining to NG tube placement verification
- Advocates on behalf of the
field of NS to improve patient outcomes and clinical practice
- Promotes consistency of
practice among individual nurses and pediatric acute care centers
- Beth Lyman, MSN, RN, CNSC
Children’s Mercy Kansas City (Project Chair, representing ASPEN)
- Peggi Guenter,
PhD, RN, FAAN, FASPEN, ASPEN Staff
- Sharon Irving
PhD, CRNP, FCCM, FAAN; University of Pennsylvania School of Nursing
- Carol Kemper
PhD, RN; Children’s Mercy Kansas City (representing Patient Safety Officers)
- Candice Moore,
BSN, RN; Cincinnati Children’s Hospital (representing home care)
Northington RN, DNS; University of Mississippi School of Nursing (representing
Society of Pediatric Nursing)
- Katie Oleksak,
MSN, FNP; Pediatric Gastroenterology, Levine Children’s Specialty Center
(representing Association of Pediatric Gastroenterology and Nutrition Nurses
- Gina Rempel MD,
FRCPC, FAAP; Children’s Hospital Winnipeg (representing ASPEN and international
Sevilla, MD, MPH, CNSC; Children’s Hospital of Pittsburgh, UPMC (representing
- Kerry Wilder, RN, MBA from Texas Scottish Rite Hospital (representing NANN)
Visscher; Parent Representative and Safety Advocate Denver, CO
- Volunteer to help with the NOVEL Project. Contact Beth Lyman at [email protected]
- Analyze your own institution and how nasogastric tube location is determined