Scribd
Upload
128 views

NGT Insertion and Removal Checklist

This document provides a checklist for inserting and removing a nasogastric tube with 20 steps for insertion and 13 steps for removal. It includes procedures like measuring the tube, lubricating and inserting it into the nose and advancing it into the stomach, securing it, and checking placement. Removal involves disconnecting any suction, removing tape, having the patient take a deep breath, clamping and removing the tube, and providing aftercare. Students are then evaluated on their mastery, orderliness, attitude, ability to answer questions, and reporting on a scale of 1 to 5.

Uploaded by

Zero Two
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
128 views

NGT Insertion and Removal Checklist

This document provides a checklist for inserting and removing a nasogastric tube with 20 steps for insertion and 13 steps for removal. It includes procedures like measuring the tube, lubricating and inserting it into the nose and advancing it into the stomach, securing it, and checking placement. Removal involves disconnecting any suction, removing tape, having the patient take a deep breath, clamping and removing the tube, and providing aftercare. Students are then evaluated on their mastery, orderliness, attitude, ability to answer questions, and reporting on a scale of 1 to 5.

Uploaded by

Zero Two
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
You are on page 1/ 3

Name:____________________________________Date:_________Section/Group: _______

Inserting a Nasogastric Tube


CHECKLIST
Legend:
3-Very Satisfactory 0- Did not perform the procedure
2- Satisfactory 1- Needs Improvement
PROCEDURES 3 2 1 0

1. Check physician’s order for insertion of NGT.

2. Explain procedure to the patient.

3. Gather equipment.

4. If nasogastric tube is rubber, place it in a basin with ice 5to10


minutes or place a plastic tube in a basin of warm water if needed.

5. Assess the patient’s abdomen.

6. Perform hand hygiene. Don disposable gloves.

7. Assist patient to high Fowler’s position or to 45 degrees if unable to


maintain upright position and drape his or her chest with bath towel or
disposable pad. Have emesis basin and tissues handy.

8. Check nares for patency by asking patient to occlude one nostril


and breathe normally through the other. Select the nostril which air
passes normally.

9. Measure distance to insert the tube by placing tip of tube at


patient’s nostril and extending to the tip of the earlobe and then tip of
the xiphoid process. Mark the tube with a piece of tape.

10. Lubricate tip of tube (at least 1-2 inches) with water soluble
lubricant. Apply topical analgesic to nostril and oropharynx or ask
patient to hold ice chips in his or her mouth for several minutes
(according to physician’s reference)

11. After having the patient lift his or her head, insert tube into nostril
while directing tube downward and backward. Patient may gag when
tube reaches the pharynx.

12. Instruct patient to touch his or her chin to chest. Encourage him or
her to swallow even if no fluids are permitted. Advance the tube in a
downward-backward direction when the patient swallows. Stop when
the patient breathes. Provide tissues for tearing or watering of eyes. If
gagging persists, check placement of tube with a tongue blade and
flashlight. Keep advancing the tube until tape marking is reached. Do
not use force. Rotate tube if it meets resistance.

13. Discontinue procedure and remove tube if there are signs of


distress, such as gasping, coughing, cyanosis and inability to speak
or hum.

14. Determine that tube is in patient’s stomach. Hold tube in place to


keep it from withdrawing while placement is checked.
a. Attach syringe to end of tube and aspirate a small amount of
stomach contents.
b. Measure pH of paper or a meter.
c. Visualize aspirated contents, checking for color and
consistency. d. Obtain radiograph of placement of tube (as
ordered by physician)
15. Apply tincture of benzoin to tip of nose and allow to dry. Secure
tube with tape to patient’s nose. Be careful not to pull it tightly against
the nose.
a. cut a 4-inch piece of tape and split bottom 2 inches or use
packaged nose tape for NGTs.
b. Place unsplit end over bridge of patient’s nose.
c. Wrap split ends under tubing and up and over onto nose.

16. Attach tube to suction or clamp tube and cap it according to


physician’s order.

17. Secure tube to patient’s gown by using a rubber band or tape and
a safety pin. If double-lumen tube is used, secure vent above
stomach level. Attach at shoulder level.

18. Assist or provide with oral hygiene at regular intervals.

19. Perform hand hygiene. Remove all equipment and make patient
comfortable.

20. Record the insertion skill, type, size of tube and measure tube
from tip of nose to end of tube. Also document description of gastric
contents, which, which naris is used and patient’s response.

Removing a Nasogastric tube


1. Check physician’s order for removal of NGT.

2. Explain procedure to patient and assist to semi-Fowler’s position.

3. Gather equipment.

4. Perform hand hygiene. Don clean disposable gloves.

5. Place towel or disposable pad across patient’s chest. Give tissues


to the patient.

6. Discontinue suction and separate tube from suction. Unpin tube


from patient’s gown and carefully remove adhesive tape from
patient’s nose.

7. Attach syringe and flush with 10 ml NSS or clear with 30-50 cc of air
(optional)

8. Instruct patient the patient to take a deep breath and hold it.

9. Clamp tube with fingers by doubling tube on itself. Quickly and


carefully remove tube while patient holds breath.

10. Place tube in disposable plastic bag. Remove gloves and place in
bag.

11. Offer mouth care to patient and facial tissues to blow nose.

12. Measure nasogastric drainage. Remove all equipment and


dispose according to agency policy. Perform hand hygiene.

13. Record removal of tube, Pt’s response, and measure of drainage.


Continue to monitor patient for 2-4 hours after tube removal for gastric
distention, nausea or vomiting.

For the next items, evaluate the students in general according to the criteria. (5 as the
highest score)
5 4 3 2 1

Mastery

Orderliness

Proper attitude in assessing the client followed.

Ability to answer questions

Proper reporting observed.

Student’s Name and Signature: _____________________________________ Evaluator’s

Name and Signature: _____________________________________

Comments:__________________________________________________________________
_
____________________________________________________________________________
____________________________________________________________________________

You might also like

pFad - Phonifier reborn

Pfad - The Proxy pFad of © 2024 Garber Painting. All rights reserved.

Note: This service is not intended for secure transactions such as banking, social media, email, or purchasing. Use at your own risk. We assume no liability whatsoever for broken pages.


Alternative Proxies:

Alternative Proxy

pFad Proxy

pFad v3 Proxy

pFad v4 Proxy