NG Tube Taping, Stays Put, Pressure Free

Year Submitted: 2025
Published Date: 17 April 2025

Tags: Care Process ＆ Redesign, Quality Improvement, Workflow Redesign, Cost Saving, Productivity, Design Thinking, Product Development, Proof Of Concept, Proof Of Value, Value Based Care, Safe Care, Product Evaluation, Safety Evaluation

About this Content

Aims

Establish a standardised method for anchoring Nasogastric (NG) Tube for both intubated and non-intubated patients in ward ICU B26. Prevent Nostril Pressure Injuries (NPIs) caused by NG Tubes, thereby reducing the need for wound care products, avoiding additional costs and minimizing the risk of extended hospitalisation. Enhance patient comfort by using a less adhesive, more breathable dressing.

Background

Prior to the project, practices for securing an intubated patient’s NG tube in ICU B26 were inconsistent. Nurses used varying techniques, including securing the tube to the nose, philtrum, or the AnchorFast device. This lack of standardisation increased the risk of pressure injuries and patient discomfort. Delicate mucosal tissues, such as those in the nose, are particularly susceptible to pressure ulcers, leading to complications and prolonged hospital stays. The method of using Micropore / Durapore tape often caused upward tube movement, leading to pressure on the nostril roof and difficult inspection. Additionally, Micropore tape did not adhere well on sweaty patients, while Durapore tape, though more secure, caused skin tears and discomfort due to tightness.

Methods

The 5S approach was adopted for the NG tube securement project. Non-woven fabric tape was selected based on its effectiveness, affordability, and hypoallergenic properties. Staff training was conducted through roll calls and mannequin demonstrations. Consistency was maintained through visual rounds and patient reviews.

Results

Successfully reduced pressure injury incidences to zero for over three years. Adopted across multiple departments (A61, A62, D78, B85, B86, B105, B106, B75). Improved patient safety, cost-effectiveness, and sustainability in care. Data from the hospital’s incident records confirmed that, prior to implementation, two serious NPIs were reported, but since adopting the pressure-free method, there have been no incidents.

Conclusion

This new NG tube taping method has been successfully integrated into the ICU daily routines, improving patient outcomes and nurse satisfaction. With zero reported NPIs since implementation, the practice has been sustained for over three years and adopted by multiple departments across KTPH. Ongoing training, feedback, and compliance monitoring ensure its continued success. This sustainable approach promises lasting improvements in care quality, preventing pressure injuries and enhancing both patient comfort and nursing efficiency.

Lessons Learnt

The sustainable, user-friendly approach has improved patient comfort, prevented complications, and reduced hospital stays. Nurses appreciated the tape’s gentleness upon removal and the minimal residue left on patients’ skin.

Additional Information

The mission to provide good quality, affordable and hassle-free healthcare with science, love and wisdom. Established uniform nursing practice, improved patient and staff experiences, reduced patient discomfort and NPI incidences since 2021, more secure, leading to fewer NG tube replacements, easier to apply, hence time and energy efficient.

Keywords

NG Tube, Pressure Injuries, Patient Comfort, Standardisation, Nursing Efficiency

Innovators' Details

Connect with this contributor!

KTPH & YCH Innovation & Improvement (I&I) Office - i-i@ktph.com.sg

Project Attachment

751_KTPH_OIF 2025_NG tube taping.pdf