Insertion and Removal of NGT With Checklist

Republic of the Philippines
UNIVERSITY OF EASTERN PHILIPPINES

University Town, Northern Samar
Web:uep.edu.ph; Email: [email protected]
INSERTING AN NGT (Nasogastric Tube)

Equipment:
Single lumen tube Tissues Sterile gloves

Water soluble lubricant Stethoscope asepto- syringe
Hypoallergenic tape Tongue blade
Emesis basin glass of water
Preparation:
PROCEDURE RATIONALE
1. Check the physician’s order and
client care plan
for inserting an NG tube.
2. Determine the size of the
catheter.
3. Check the client’s ID band and let
the client state the name.
4. Discuss procedure with the client Demonstration and display of items to
be used helps to allay anxiety and
client’s fear and to gain cooperation
5. Provide privacy
6. Gather equipment
7. Wash hands
8. Don gloves
9. Position client in 45-degree angle
or higher with the head of the bed
elevated.
10. Examine nostrils, and select the The nostril with greater airflow should
most patent nose by having the be chosen for insertion.
client breathe through each one.
11. Place a towel over client’s chest Client may experience discomfort or
and an emesis basin within reach gag during tube insertion.
12. Measure from tip of nose to To determine the appropriate length of
earlobe to xiphoid process of tube insertion.
sternum
13. Coil end of the tube over fingers This softens the tube and facilitate the
insertion
14. Lubricate first 4 inches of tube Oil based lubricant can cause
with water- soluble lubricant. respiratory complications.
15. Insert the tube through the Sips of water through a straw may aid
nostril to the back of the throat. in advancing the tube.
Aim the tube toward the back of
the throat and down. Suggest
client to swallow sips of water to
assist tube insertion.
16. Attach the syringe to the free end To check the proper placement of the
of NG tube to check the position tube
of the tube.
17. Inject 10-15 ml of air through the This is one method of checking that
NG tube, and listen with the tube has reached client’s stomach.
stethoscope over the stomach for
a rush of air or “whoosh” sound
18. Aspirate gastric contents with 50 This is essential for determining tube
ml. syringe and check pH position.
19. Tape tube securely to nose or To keep it in place and to avoid
use an attachment device. accidental pulling of the tube
20. Provide oral and nasal hygiene To maintain comfort
21. Remove gloves and wash hands
22. Position client for comfort.
INSERTING AN NGT (Nasogastric Tube)
PROCEDURE Able to Able to Unable to

perform perform perform
(2) with (0)
assistance
(1)
1. Check the physician’s order and
client care plan
for inserting an NG tube.
2. Determine the size of the
catheter.
4. Discuss procedure with the client
5. Provide privacy
6. Gather equipment
7. Wash hands
8. Don gloves
9. Position client in 45-degree angle
or higher with the head of the bed
elevated.
10. Examine nostrils, and select the
most patent nose by having the
client breathe through each one.
11. Place a towel over client’s chest
and an emesis basin within reach
12. Measure from tip of nose to
earlobe to xiphoid process of
sternum
13. Coil end of the tube over fingers
14. Lubricate first 4 inches of tube
with water- soluble lubricant.
15. Insert the tube through the nostril
to the back of the throat. Aim the
tube toward the back of the throat
and down. Suggest client to
swallow sips of water to assist
tube insertion.
16. Attach the syringe to the free end
of NG tube to check the position
of the tube.
17. Inject 10-15 ml of air through the
NG tube, and listen with the
stethoscope over the stomach for
a rush of air or “whoosh” sound
18. Aspirate gastric contents with 50
ml. syringe and check pH
19. Tape tube securely to nose or
use an attachment device.
20. Provide oral and nasal hygiene
21. Remove gloves and wash hands
22. Position client for comfort.

REMOVING AN NGT (Nasogastric Tube)

Equipment:
Towel, paper towel
Tissues
gloves
Stethoscope
Container of normal saline solution
Tube plug
Asepto syringe
Preparation:
PROCEDURE RATIONALE
1. Check the physician’s order for
NG tube removal
2. Assess client to determine that
bowel sounds have returned;
auscultate to right of umbilicus as
alternative to all four sites.
4. Discuss the procedure with the
client and explain that it may
cause some nasal discomfort,
coughing, sneezing of gagging
5. Wash hands and don gloves
6. Flush NG tube with 20 ml of To clear the tube so that GI contents do
normal saline. not inadvertently drain into the
esophagus on tube removal
7. Pinch the tube close to client’s Holding your breath closes the glottis
nares, have the client take a and helps prevent aspiration.
deep breath and hold it while you
withdraw the tube
8. Wrap tube in paper towel or the
used gloves
9. Offer oral and nasal hygiene
10. Record the amount and character
of drainage
11. Discard disposable equipment
and return reusable equipment to
the appropriate area
12. Remove and dispose gloves and
wash hands.

REMOVING AN NGT (Nasogastric Tube)
PROCEDURE Able to Able to Unable to

perform perform perform
(2) with (0)
assistance
(1)
1. Check the physician’s order for
NG tube removal
2. Assess client to determine that
bowel sounds have returned;
auscultate to right of umbilicus as
alternative to all four sites.
4. Discuss the procedure with the
client and explain that it may
cause some nasal discomfort,
coughing, sneezing of gagging
5. Wash hands and don gloves
6. Flush NG tube with 20 ml of
normal saline.
7. Pinch the tube close to client’s
nares, have the client take a
deep breath and hold it while you
withdraw the tube
8. Wrap tube in paper towel or the
used gloves
9. Offer oral and nasal hygiene
10. Record the amount and character
of drainage
11. Discard disposable equipment
and return reusable equipment to
the appropriate area
12. Remove and dispose gloves and
wash hands.

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Republic of the Philippines

UNIVERSITY OF EASTERN PHILIPPINES

INSERTING AN NGT (Nasogastric Tube)

Single lumen tube Tissues Sterile gloves

INSERTING AN NGT (Nasogastric Tube)

PROCEDURE Able to Able to Unable to

Republic of the Philippines

REMOVING AN NGT (Nasogastric Tube)

Republic of the Philippines

REMOVING AN NGT (Nasogastric Tube)

PROCEDURE Able to Able to Unable to

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