NOVEL Project

New Opportunities for Verification of Enteral Tube Location Project  

ASPEN launched the NOVEL Project to address an important issue—what is the best practice approach to the verification of nasogastric feeding tube location in pediatrics?

Project Overview

Currently, there is no best practice approach to verify nasogastric (NG) tubes are properly inserted in pediatric patients. Misplacement of feeding tubes has resulted in death and/or serious consequences for the patient. Some hospitals perform X-rays to confirm the NG tube location, but it exposes the pediatric patients to radiation exposure. Patients can have their NG tubes removed several times per day which would involve repeated X-rays and loss of feeding.

NOVEL Task Force 

Formed in 2012, the NOVEL project task force: 

  1. 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  
  2. Collaborates with specialty nursing organizations to determine best practices for determining NG tube location working with existing technology and accepted procedures such as pH measurements  
  3. Fosters the discovery of new knowledge and science and its application to the field of nutrition support (NS) therapy  
  4. Disseminates knowledge that improves clinical practice pertaining to NG tube placement verification  
  5. Advocates on behalf of the field of NS to improve patient outcomes and clinical practice  
  6. Promotes consistency of practice among individual nurses and pediatric acute care centers 

Members of Taskforce:

  • 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 (representing AACN)
  • Carol Kemper PhD, RN; Children’s Mercy Kansas City (representing Patient Safety Officers)
  • Candice Moore, BSN, RN; Cincinnati Children’s Hospital (representing home care)
  • LaDonna 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 (APGNN)
  • Gina Rempel MD, FRCPC, FAAP; Children’s Hospital Winnipeg (representing ASPEN and international members)
  • Wednesday Sevilla, MD, MPH, CNSC; Children’s Hospital of Pittsburgh, UPMC (representing ASPEN)
  • Kerry Wilder RN MBA from Texas Scottish Rite Hospital (representing NANN)
  • Deahna Visscher; Parent Representative and Safety Advocate Denver, CO

Get Involved!

  • Serve as local consultants to biomedical engineering schools who have expressed an interest in working on the NOVEL Project.
  • Analyze your own institution and how nasogastric tube location is determined.
  • Volunteer to help as needed in work groups. Contact Beth Lyman at [email protected]

NOVEL News  

Issue 5, January 2018

Issue 4, December 2016

Issue 3, December 2015

Issue 2, March 2015

Issue 1, November 2014

ASPEN Novel Project Update, May 12, 2014

NOVEL Project GoesInternational, May 5, 2014

Publications and Resources on NOVEL

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. JPEN J Parenter Enteral Nutr. 2016;40 (4): 574–580.

Verifying NG tube placement in childrenNursing2015;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.