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NGT Feeding Procedure Checklist

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IRA MONIQUE CABADEN
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55 views

NGT Feeding Procedure Checklist

Uploaded by

IRA MONIQUE CABADEN
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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College of Health Sciences Education

3rd Floor, DPT Building


Matina Campus, Davao City
Telefax: (082)
Phone No.: (082)300-5456/300-0647 Local 117

Procedure on: Nasogastric Tube Feeding

Definition:
A feeding tube is a device that’s inserted into your stomach through your abdomen. It’s used to supply
nutrition when you have trouble eating.G-tube insertion.

Purposes:
The purpose of Gastrostomy Tube Feeding is to provide long-term nutritional support and to regulate the
flow of liquid nourishment by bolus, by continuous and intermittent feeding, or by the feeding pump method.

Materials Needed:
A tray containing:
1. 50-60cc syringe or feeding bag
2. Feeding pump
3. Water in a small container
4. Prescribed feeding
5. 4x4 gauze dressing and dressing supplies if necessary
6. Cotton-tip applicators, soap and water, basin, washcloth and towels
7. Disposable nonsterile gloves

STEP BY STEP PROCESS OF THE PROCEDURE

ACTION RATIONALE:
Gastrostomy Tube Feeding
1. Check the physician’s order for feeding. Ensures that correct feeding will be
administered.

2. Wash your hands then assemble equipment. Hand washing minimize the spread of
microorganisms.
3. Identify and explain the procedure to the client Proper identification of client prevents
medication error and proper explanation allays
anxiety and ensures cooperation.
4. Assess for food allergies, time of last feeding , Proper assessment prevents risk of
bowel sounds and laboratory values. complication.
5. Assess signs and symptoms that would suggest To enhance gravitational flow of
lack of tolerance in the previous feeding (e.g. feed through tube end prevents
abdominal distention, etc.) risk of aspiration.
6. Raise the bed to a working height. To ensure proper body mechanics.
7. Assist the patient to sit up with his or her head This position enhances the gravitation flow of
elevated at least 45 degrees. Pillows may be the solution and prevents the possibility of
used to support the patient. aspiration into the lungs

8. Wash Hands. Hand washing minimize the spread of


microorganisms.
9. Expose the nasogastric tube. Place the basin To start feeding.
under the tube, and uncap the tube, or remove
the plug.
10. Spread paper towel on the chest area. To avoid spillage of the feeding formula.
11. Aspirate for stomach contents to verify Reduces risk of gravity regurgitation.
placement. Reinstill aspirate. If it is greater than
100ml, delay the feeding for 30 minutes to 1
hour, and check
again. Auscultate the abdomen for the presence
of bowel sounds. Notify the physician of high
gastric residuals, absence of bowel sounds, or
patient complaints of abdominal discomfort
before administering tube feedings.
12. Pour warm water into a cup. Draw up 50ml of
warm water into the syringe.
13. Gently irrigate the tube with the water. If the Maintains patency of tube.
patient coughs or appears to be choking; do not
administer feeding and notify the physician.
Flush the gastrostomy tube with 50ml of water
every 8 hours to prevent clogging.
14. Clamp nasogastric tube. Prevents air from entering tube.
15. Remove the bulb or plunger from the syringe. Provides system to deliver feeding
Reattach the syringe to the nasogastric tube.
16. Pour the prescribed amount of feeding into the Provides nutrient as prescribed.
syringe, open the clamp, and allow it to empty
in, adding more feeding as the syringe empties.
Follow the feeding with 50ml of warm water.
17. Clamp the tube before it empties, and remove Prevents air from entering tube.
the syringe.
18. Close the feeding port caps. If the caps are not Prevents infection.
present, clamp or plug the end of the
gastrostomy tube.
19. Clean and discard the equipment (disposable Prevents infection.
items in a plastic trash bag)
21 Document the type and amount of feeding, For information to the health practitioner and
amount of water given and tolerance of feeding. legal purpose.
22 Monitor for breath sounds, bowel sounds, For possible complication to occur.
abdominal distension, diarrhea, constipation and
intake and output.
23 Instruct client to notify the nurse if he/she To assess further clients condition.
experience sensation of fullness, nausea or
vomiting.
College of Health Sciences Education
3rd Floor, DPT Building
Matina Campus, Davao City
Telefax: (082)
Phone No.: (082)300-5456/300-0647 Local 117

PROCEDURE CHECKLIST ON:

Nasogastric Tube Feeding

Name: ______________________________________________________ Rating: _________________

Year level: _________________ Code: _________________ Date Performed: ___________________

Procedure CD ID ND Remarks
(2) (1) (0)
Nasogastric Tube Feeding
1. Check the physician’s order for feeding.
2. Wash your hands then assemble equipment.
3. Identify and explain the procedure to the client
4. Assess for food allergies, time of last feeding , bowel sounds
and laboratory values.
5. Assess signs and symptoms that would suggest lack of
tolerance in the previous feeding (e.g. abdominal distention,
etc.)
6. Raise the bed to a working height.

7. Assist the patient to sit up with his or her head elevated at least
45 degrees. Pillows may be used to support the patient.

8. Wash Hands.

9. Expose the nasogastric tube. Uncap the tube, or remove the


plug.

10. Spread paper towel on the chest area


11. Aspirate for stomach contents to verify placement. Re-instill
aspirate. If it is greater than 100ml, delay the feeding for 30
minutes to 1 hour, and check again. Auscultate the abdomen
for the presence of bowel sounds. Notify the physician of high
gastric residuals, absence of bowel sounds, or patient
complaints of abdominal discomfort before administering tube
feedings.
12. Pour warm water into a cup. Draw up 50ml of warm water into
the syringe.
13. Gently irrigate the tube with the water. If the patient coughs or
appears to be choking; do not administer feeding and notify the
physician. Flush the gastrostomy tube with 50ml of water every
8 hours to prevent clogging.
14. Clamp gastrostomy tube.
15. Remove the bulb or plunger from the syringe. Reattach the
syringe to the gastrostomy tube.
16. Pour the prescribed amount of feeding into the syringe, open
the clamp, and allow it to empty in, adding more feeding as the
syringe empties. Follow the feeding with 50ml of warm water.
17. Clamp the tube before it empties, and remove the syringe.
18. Close the feeding port caps. If the caps are not present, clamp
or plug the end of the nasogastric tube.
19 Clean the equipment used. Discard disposable items in a
plastic trash bag.
20 Wash hands.
21 Document the type and amount of feeding,
amount of water given and tolerance of feeding.
22 Monitor for breath sounds, bowel sounds, abdominal
distension, diarrhea, constipation and intake and output.
23 Instruct client to notify the nurse if he/she experience sensation
of fullness, nausea or vomiting.
24 Maintains body mechanics.
25 Manifests neatness in the performed procedure.
26 Provides client’s privacy throughout the procedure.
27 Receptive to criticisms.
28 Observes courtesy.
29 Shows calmness while performing the procedure.
30 Uses correct English
31 Shows mastery of the procedure.
TOTAL Score ÷ # of items x 85+15 = Rating x75%
+25% Evaluation rating= Overall rating

Legend:
0 (ND) Not Done
1 (ID) Incorrectly Done
2 (CD) Correctly Done

Remarks :
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________

________________________________________ ________________________________
Signature Over Printed Name of Clinical Instructor Signature Over Printed Name of Student
Date: ______________________ Date: ________________________

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