The American Association of Critical-Care Nurses (AACN, 2005) recommendation for radiological confirmation of blindly placed feed- ing tubes is supported strongly by enteral feeding tube clinical nurse expert Norma A. Metheny, PhD, RN (Metheny, 2006a). Current practice of incorporating this standard, espe- cially for placement verification dur- ing tube maintenance, has been inconsistent. This may be due to continued use of older bedside test- ing methods in lieu of radiography (Metheny et al., 2007).