Many patients, especially those with altered mental status,
may repeatedly pull these tubes out despite restraints,
which may cause an additional risk of reinsertion or mal-
positioning. Most commonly, tubes are secured to patients’
skin with adhesive tape, semipermeable membranes or
commercial fixation devices. Despite this, there is a
relatively high risk of unintentional tube dislodgement,
either by the patient or during routine nursing care. Previous
published reports on unplanned tube removal suggest an
incidence of approximately 40% (Brandt and Mittendorf,
1999; McClave et al., 1999; Meer, 1987).
Many patients, especially those with altered mental status,may repeatedly pull these tubes out despite restraints,which may cause an additional risk of reinsertion or mal-positioning. Most commonly, tubes are secured to patients’skin with adhesive tape, semipermeable membranes orcommercial fixation devices. Despite this, there is arelatively high risk of unintentional tube dislodgement,either by the patient or during routine nursing care. Previouspublished reports on unplanned tube removal suggest anincidence of approximately 40% (Brandt and Mittendorf,1999; McClave et al., 1999; Meer, 1987).
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