Why is Tube Displacement a Concern?
Displacement of medical tubes can lead to numerous complications including obstruction, infection, impaired function of the device, and in severe cases, can be life-threatening. For example, the displacement of an endotracheal tube can result in compromised
airway management which may lead to hypoxia.
Patient movement – Involuntary movements or agitation can dislodge tubes.
Poor fixation – Inadequately secured tubes are more prone to displacement.
Improper insertion – Incorrectly positioned tubes are at higher risk of moving.
External factors – Activities such as patient transport or physical therapy.
Regularly checking tube placement and security.
Using securement devices or tapes specifically designed for the type of tube.
Educating patients and their families about the importance of minimizing movement.
Ensuring proper initial placement through techniques like
X-ray confirmation for certain tubes.
Change in patient's vital signs, such as increased heart rate or decreased oxygen saturation.
Visible movement or dislodgement of the tube from its original position.
Patient discomfort or pain at the site of the tube.
Unexpected changes in the function of the tube, such as poor drainage from a catheter.
Assess the patient's condition to determine if there is any immediate threat to their health.
Secure or reinsert the tube if within the nurse's scope of practice and according to hospital protocol.
Notify the healthcare provider for further assessment and possible intervention.
Document the incident, including the suspected cause, actions taken, and the patient’s response.
Conclusion
Tube displacement is a significant concern in nursing, requiring ongoing vigilance and proactive measures to prevent and manage. Effective communication, proper securing techniques, and continuous monitoring are essential to ensure patient safety and optimal outcomes.
