NasoGastric Tube Holders Product Evaluation

We value your opinion

We appreciate your input on the Dale NasoGastric Tube Holders.

Please answer the following questions:

160-163 | NasoGastric Holder Evaluation Form

Which Dale Nasogastric Tube Holder are you evaluating?

163 UltraGrip™, Single Leg

160 Dual Tabs, Large/Adult

161 Dual Tabs, Small

What type of tube did you secure with the Dale NG Tube Holder?

Salem Sump™

Levin Tube

Enteral Feeding Tube

Other

fr size:

fr

What do you currently use to secure NG Tubes?

Standard Hospital Tape eg. Durapore, Transpore

”Band-Aid” Type Securement

Commercially Available Device.

Other

Please specify Commercial device:

Compared to the method cited above, please tell us how the Dale Naso-Gastric Tube Holder compared in the following areas

Did you need to change/replace our holder more frequently than your current method?

Yes

No

How often did you change the holder?

What did you use to prep the skin before applying the holder?

What did you find to be the best feature of this product compared to your current method?

Would you recommend this product for regular use?

Yes

Sometimes

No

Please cite any additional comments you may have:

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