Aims & Objectives: To reduce the number of pressure injuries caused by nasal endotracheal tubes. Pressure Injuries are an international patient safety issue. The majority of pressure injuries are preventable if appropriate measures are implemented. Methods 10% of reported pressure injuries were deemed to be caused by a nasal endotracheal tube. This was thought to be from the taping method used to secure the tube. The tape came down the nose pulling on the ETT and obscuring the skin from inspection. A literature review was conducted on ETT taping methods, this was modifies to suit our units requirements. The new taping method was implemented with only 15 staff taping ETT’s to ensure consistency. Results There was a marked decrease in the number of nasal pressure injuries, when new taping was implemented. Conclusions Despite the incidence of pressure injuries remaining high, there was a decrease in ETT related Pressure injuries. This could be from the new technique requiring more frequent restrapping, so blanching areas seen sooner and ETT manouvered. New strapping technique encouraged nurses to pull tube downwards relieving pressure on nare.