In our Modesto Medical Center, Intensive Care Unit (ICU), nurses faced challenges in securing nasogastric tubes (NGTs) with adhesive tape. While tape was a common method, it often resulted in unintended NGT removal, slippage, skin irritation, or pressure injuries. Recognizing the need for a safer, more effective solution, our team embarked on a journey to improve patient care through evidence-based practice.
A thorough literature review highlighted the Nasal Bridal Securement Device as a promising alternative. This device has shown to securely stabilize NGTs, reducing the risk of dislodgement while also improving patient comfort. To validate its efficacy, a pilot study was conducted within our ICU, where the device proved to be safe, effective, and well-received by both patients and staff. In fact, the success rate in our pilot unit was 100%, with no instances of inadvertent NGT removal or associated complications.
Encouraged by these results, the findings were presented to the nursing Professional Governance Councils and the Chief Nurse Executive. After a thorough review, both groups approved the widespread implementation of the Nasal Bridal Securement Device across our facility. This project became the first evidence-based practice change to successfully complete the full process—from literature review, evaluation of the evidence, pilot study, committee presentation and review to final approval for system-wide adoption.
The implementation of this device marked a significant milestone in our hospital’s commitment to enhancing patient safety and comfort. It also set the stage for future evidence-based practice initiatives, empowering nurses to continue improving care through research and innovation. The Nasal Bridal Securement Device not only addressed an immediate need but also demonstrated the power of collaboration and data-driven decision-making in nursing practice.
