A New Standard in Nasogastric Tube Security
Advantages of TubeSafe
- TubeSafe can easily be used when wearing personal protective equipment (PPE or gloves).
- TubeSafe is adhesive-free so no allergic reactions or irritation to the skin and nasal cavity.
- TubeSafe is cost-effective since it does not need regular changes and allows for repositions.
- TubeSafe is lightweight, flexible, unbreakable, and made of recyclable material
- TubeSafe is less messy than Tape.
NG Tube Holder Cost Comparisons
|PRODUCT||Allows repositions (saving money)||Latex and adhesive free(saving allergy costs)||Approx. US Hospital Price*||Approx. Labour Costs**||Protective Skin Prep. Swab||Approx. Cost per securement procedure||Total Cost for 10 Days and 3 adhesive changes***|
|Mormac Tube Guard||Yes||No||$1.00||$0.60||$0.10||$1.70||$5.10|
* Product prices can vary.
** Labour costs will vary depending on wages. The tape is more labor-intensive, however, more readily available.
TubeSAFE is considered less labor-intensive as skin preparation is not necessary.
*** Number of changes based on recommendations from ICU Nutritionist.
Is it right for your patient?
some information and cost comparison before you buy
The most common product to secure a gastric tube is tape or a similar, more expensive adhesive product. The tape is inexpensive, readily available, and reasonably effective if applied properly. The downside is the overall security of a tube held with tape depends on the type of tape used, the technique in applying it, and more importantly, how often it gets changed.
Focusing on intubated patients, we interviewed the dietitian of a 21-bed Intensive Care Unit in Canada’s second-largest acute care facility. “We have seen the rate of small-bore feeding tube loss drop from a rate of 36% in ’92 to approximately 10% presently. This decline is mainly attributed to changing the tape more regularly and securing the tube better using a protective skin barrier swab. Since many variables affect when tape needs to be changed, it is important to regularly monitor the adhesive integrity. This is a simple, yet easily forgotten task.”
When a duodenal or jejunal feeding tube loss is prevented many dollars are saved, considering the time and skill needed to replace them in addition to the X-ray needed to verify proper placement. Some tubes have to be placed under endoscopy or fluoroscopy making a tube loss that much more expensive.
Although sump-type gastric tubes are less costly and easier to replace, one should also consider the discomfort and trauma of re-insertion.
US cost analysis: Tape vs TubeSafe
The estimated cost to secure a gastric tube with Tape including skin Prep. is approximately $0.17 US ($0.07 for tape and about $1.10 for labor). Comparatively, with intubated patients, securing a gastric tube with TubeSafe costs roughly $1.63 or less ($1.97 for the TubeSafe and only $0.31 for labor). The difference is a saving of $0.48 with tape. However, for the tape to remain effective, it is suggested that the tape be changed on nasally placed tubes every 3-5days, which makes the TubeSafe more cost-effective for any patients intubated longer. If the gastric tube needs repositioning, the costs of the tape job doubles, making the TubeSafe a cheaper alternative.
One should also look at the safety and effectiveness of the TubeSafe compared to adhesive products. This is more of a subjective opinion and might depend on the patient or situation. For example, the TubeSafe may be used in addition to what hospitals are using presently so that expensive and difficult-to-place tubes don’t come out and the trauma of reinsertion can be avoided. The TubeSafe may improve safety by reducing the incidence of glove tearing when using other adhesive products and reducing the incidence of nasal tissue necrosis from improperly taped tubes. We at Innotech Medical believe the TubeSafe is ideal for any intubated patient with facial burns, adhesive or latex allergies, or for any patient intubated for >3 days. See for yourself how well they work!