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    CHECKLIST NGT Insertion

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    Queen Loretcha

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    © All Rights Reserved
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    CHECKLIST NGT Insertion

    Uploaded by

    Queen Loretcha
    5 views2 pages

    Original Title

    CHECKLIST-NGT-Insertion (1)

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    5 views2 pages

    CHECKLIST NGT Insertion

    Uploaded by

    Queen Loretcha

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    of 2

    EMILIO AGUINALDO COLLEGE

    Gov. D. Mangubat Ave., Brgy. Burol Main, City of Dasmariñas, Cavite 4114, Philippines
    Tel. Nos. (046) 416-4339/41 www.eac.edu.ph
    `
    SCHOOL OF NURSING

    NASOGASTRIC TUBE INSERTION

    NAME: ______________________________________________ SCORE: _____________________


    YR/SEC/GRP: _________________________________________ DATE: ______________________
    AREA FOR EVALUATION RATING COMMENTS
    SKILLS 5 4 3 2 1
    ASSESSMENT

    1. Assess the patient’s need for nasogastric insertion.

    NOTE: ALWAYS CHECK PROPER PLACEMENT OF THE TUBE


    (gastric placement and sound) before and after
    feeding.
    '2. Check the physician’s order
    3. Check patency of nares and intactness of nasal tissues.
    4. Assess for gag reflex.

    PROPER POSITIONING (HYPEREXTENSION TO FLEXION


    OF THE NECK)
    5. Assess mental status.
    6. Determine where the needed equipment is located
    PLANNING
    7. Wash your hands.
    8. Gathers equipment.

    • Plastic tube: place in basin of warm water for 10 minutes.


    (large tubes)
    • Rubber tube: place in a basin of ice for 10 minutes.
    • Small–bore tube: insert stylet or guide wire and secure into
    position, according to agency policy.
    9. Plan for any assistance if necessary.
    10. If weighted or special tube is to be used, review
    manufacturer’s directions for insertion.
    IMPLEMENTATION
    11. Identify the patient.
    12. Explain the procedure to the patient.
    13. Place patient in high Fowler’s position with head flexed
    forward. (Prepare nose skin for tape.)
    14. Put a clean towel over the patient’s chest.
    15. Prepare nose skin for tape.
    16. Put on gloves and determine the length of tube to be
    inserted (STERILE FIELD)
    17. Lubricate the tube with a water-soluble lubricant.
    18. Gently insert the tube on the nostril.
    19. Have the patient hyperextend her neck and
    advance the tube slowly aiming downward and
    toward the ear.

    20. After the tube passes through the nasopharynx, have the
    patient flex her head toward the chest and rotate the tube 180

    -035
    • VIRTUE • EXCELLENCE • SERVICE
    21. Direct the patient to sip water and swallow while you
    gently but steadily advance the tube.
    22. Secure the tube to bridge of the nose.
    23. Check to see if the end of the tube is curled in the back of the
    throat.
    24. Once the tube is in, temporarily secure it with one piece of
    tape and verify the tube placement if it is in
    the stomach.

    25. Plug the end of the tube and coil free end and pin to the
    clothing
    26. Make patient comfortable.
    27. Give oronasal care.
    28. Dispose the gloves and wash your hands.
    EVALUATION
    29. Evaluate using the following
    criteria:
    a. Patient is comfortable.
    b. No irritation at nostrils.
    c. Normal breathing.
    d. No indications of nausea or regurgitation.
    e. Tube properly placed.

    DOCUMENTATION
    30. Initiate an Intake and Output Record
    31. Document the following on the patient’s chart.
    a. Type and size of tube inserted.
    b. Amount and characteristics of any drainage returned.
    c. Suction pressure applied.
    d. Records the results and describes the patient’s response to
    the procedure.

    EVALUATED BY: CONFORME:


    _____________________________ ____________________________________
    Signature over Printed Name of the Faculty Signature over Printed Name of the Student

    • VIRTUE • EXCELLENCE • SERVICE

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