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Checklist NGT - Final

The document provides checklists for the procedures of nasogastric tube insertion and removal at Samar State University College of Nursing and Health Sciences. The insertion checklist contains 27 steps, including critical behaviors like performing hand hygiene, identifying the patient, and checking for allergies. It describes properly positioning and preparing the patient, lubricating and inserting the tube, securing and testing placement. The removal checklist contains 18 steps, also highlighting critical behaviors like hand hygiene and patient identification. It reviews assessing tube placement and instructing the patient to hold their breath during quick, smooth tube removal.

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Kim Tan
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777 views

Checklist NGT - Final

The document provides checklists for the procedures of nasogastric tube insertion and removal at Samar State University College of Nursing and Health Sciences. The insertion checklist contains 27 steps, including critical behaviors like performing hand hygiene, identifying the patient, and checking for allergies. It describes properly positioning and preparing the patient, lubricating and inserting the tube, securing and testing placement. The removal checklist contains 18 steps, also highlighting critical behaviors like hand hygiene and patient identification. It reviews assessing tube placement and instructing the patient to hold their breath during quick, smooth tube removal.

Uploaded by

Kim Tan
Copyright
© © All Rights Reserved
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Republic of the Philippines SAMAR STATE UNIVERSITY COLLEGE OF NURSING AND HEALTH SCIENCES Catbalogan City Tel. No.

(055) 2512139; Fax No. (055) 5438394

Nasogastric Tube Insertion Student Name: _____________________________________ Date: _____________________ PROCEDURE CHECKLIST ** Critical Behaviors that need to be stated or done in order to pass the skill.
PROCEDURES Assessment 1. Check physicians order. 2. **Check chart for allergies Planning 3. Identify expected outcomes. 4. Gather necessary equipment: a. Nasogastric tube b. Gloves c. Cup of water d. Lubricating jelly e. Tape f. Safety pin g. pH paper h. Rubber band i. Stethoscope j. Irrigation tip syringe k. Bath towels or blue pad l. Emesis basin m. Flash light. 5. Provide for privacy Implementation 6. Upon entering: a. **Perform hand hygiene b. Identify self c. **Identify patient d. **Check allergies e. Assure privacy f. Explain what is about to occur g. Allow for patient questions h. Raise bed to comfortable working height i. Don clean gloves 7. Using a flashlight, assess condition of nares and P NP Comments

oral cavity. 8. Position patient in high Fowlers position with pillow behind head and shoulders. 9. Stand at the right side of patient if right handed and the left side of patient if left handed. 10. Place bath towels or blue pad over chest and give tissues to patient. 11. Prepare split tape. 12. **Mark length of tube to be inserted with tape. Measure distance to insert tube measuring from the tip of the nose, to the earlobe, to the xiphoid process. 13. Curve tip of tube tightly around index finder and release. 14. **Lubricate end of tube generously with water soluble lubricating jelly. 15. Instruct patient to extend neck back against pillow and begin to insert tube into 16. Continue to pass tube along floor of nasal passage; aiming down toward ear. When resistance is felt apply gentle downward pressure to advance the tube (do not force past resistance). Note: If resistance continues, withdraw tube, allow patient to rest, relubricate tube and insert into other naris. 17. Continue insertion of tube until just past nasopharynx by gently rotating tube toward opposite naris a. Stop tube advancement, allow patient to rest b. Explain that the next step requires swallowing. 18. **With tube just above oropharynx, instruct patient to flex head forward and dry swallow or suck air in through a straw; advance with each swallow; if patient has trouble swallowing and is allowed fluids, offer a glass of water; advance tube with each swallow of water until tape marking is at the nose. 19. ** Attach irrigation tip syringe, inject 30 ml of air and auscultate woosh over epigastric area, then aspirate gently back to obtain gastric contents. 20. Measure pH of gastric contents with color coded pH paper. 21. If tube is not in stomach, advance another 2.5-5 cm and repeat step 18 and 19.

22. **Secure tube to nose with tape; avoid pressure on nares. 23. Fasten end of tube to gown by looping rubber band around tube in a slip knot , or by applying tape, and pin to gown. 24. Remove irrigation tip syringe and attach tube to suction as ordered. 25. Unless otherwise ordered by physician, head of bed should remain elevated to 30 degrees. 26. Before leaving room a. Dispose of equipment b. Position patient comfortably c. Lower bed d. Raise appropriate side rails e. Leave call light and belongings in reach f. **Perform hand hygiene Evaluation 27. **What information do you need to gather to assure that the nasogastric tube is functioning properly? What are your observations since insertion? How has the patient responded to the procedure? Write a sample nursing note.

Signature of Clinical Instructor : __________________________________________________

Republic of the Philippines SAMAR STATE UNIVERSITY COLLEGE OF NURSING AND HEALTH SCIENCES Catbalogan City Tel. No. (055) 2512139; Fax No. (055) 5438394

Nasogastric Tube Removal Student Name: _____________________________________ Date: _____________________ PROCEDURE CHECKLIST ** Critical Behaviors that need to be stated or done in order to pass the skill.

PROCEDURES Assessment 1. Check physicians order. 2. **Check chart for allergies. Planning 3. Identify expected outcomes. 4. Gather necessary equipment A. Bath towel or blue pad B. Tissues 5. Provide for privacy Implementation 6. Upon entering: a. **Perform hand hygiene b. Identify self c. **Identify patient d. **Check allergies e. Assure privacy f. Explain what is about to occur g. Allow for patient questions h. Raise bed to comfortable working height i. Don clean gloves 7. If tube is attached to suction, turn off suction. 8. Assess nares, oral cavity and presence of bowel sounds. 9. Place towel across patients chest. 10. Disconnect tubing from wall suction. Auscultate for placement. Measure pH ofgastric contents with color coded pH paper. If tube is in place, instill 10 ml water. If tube is not in place, do not instill water. 11. Remove tape from nose and unfasten pin from gown.

NP

Comments

12. Instruct patient to take a deep breath and hold; pinch tube with fingers or clamp; quickly and smoothly remove tube into towel while patient is holding breath. 13. Provide patient with tissues. 14. Place tubing in plastic bag or towel. 15. Provide oral and nasal care; make patient comfortable. 16. Inspect condition of nares and oral cavity. 17. Before leaving room a. Dispose of equipment b. Position patient comfortably c. Lower bed d. Raise appropriate side rails e. Leave call light and belongings in reach f. **Perform hand hygiene Evaluation 18. **What information do you need to gather to assure that the patient has

Signature of Clinical Instructor : __________________________________________________

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