Maintaining enteral access in critically ill patients is essential for administration o f medications, when no parenteral formulation is available, and for providing adequate nutritional support. Several clinical trials have shown that the use o f a nasal bridle securement significantly reduces the risk o f unintentional nasoenteric tube dislodgement and improves the delivery o f adequate enteral nutrition. Therefore, we developed a clinical procedure, training, and monitoring process to trial the use o f the nasal bridle. The goal was to reduce unintentional nasoenteric tube dislodgement in our intensive care and high-acuity patients. Using a systematic training and evaluation approach we were able to successfully trial and monitor the use o f the nasal bridle nasoenteric tube securement device in our critical care units.Maintaining enteral access in critically ill patients is essential for administration o f medications, when no parenteral formulationis available, and for providing adequate nutritional support. Unintentional dislodgement of nasogastric tubes is a common problem in this patient population, occurring in approximately 29-63% o f all tube insertions (Brugnolli, Ambrosi, Canzan, Saiani, & Naso-gastric Tube Group, 2014; Mion, Minnick, Leipzig, Catrambone, & Johnson, 2007; Seder, Stockdale, Hale, & Janczyk, 2010). The use of traditional securement adhesive tape is often ineffective, as it is easily removed, and irritating to the skin (Seder et al, 2010). Additionally, the use of physical or pharmacologic restraints to prevent patients from pulling on tubes and lines has been associated with a significant risk of adverse events (Benbenbishty, Adam, & Endacott, 2010; Riker & Fraser, 2005; Seder et al., 2010).