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III. Nasogastric Intubation


Common indications for nasogastric intubation include decompression of the GI tract in patients with bowel obstruction and gastric emptying in intubated patients to prevent aspiration. This video demonstrates the insertion of a nasogastric tube.
 

View the Video and Review the PDF description for the procedure using the Resource links on the Right Sidebar

 


Checklist

 

 

 

Insertion of Nasogastric Tube

Competent

Not Competent

1. Wash hands

 

 

2. Identify patient (name and DOB) and explain procedure to patient

 

 

 

 

3. Gather/check equipment:
    (gloves, mask, tube, lubricant, tape, syringe, water, emesis basin,
    suction, stethoscope)

 

 

4. Put on protective gloves

 

 

5. Estimate distance of  tube insertion (use black lines as
    guide)

 

 

6. Inspect nose and identify optimal nostril for NG tube insertion

 

 

7. Position patient sitting, with head in "sniffing position".

 

 

8.. Lubricate tip of tube

 

 

9. Insert tube parallel to the floor of the nasal canal

 

 

10. Insert to level of oropharynx  (patient may gag at this point)

 

 

11. When gagging ceases (may need to pull tube back slightly), instruct
      the patient to drink sips of water

 

 

12. Insert tube remainder of distance into stomach while patient 
      swallows water

 

 

13. Check for designated black mark to determine proper distance of
      insertion

 

 

14. Check to make sure patient can talk, and not coughing or breathless

 

 

15. Attach piston syringe to end of tube, draw back to aspirate stomach
      contents.

 

 

16. If no return, insufflate 30 cc of air, while auscultating for "bubble
      sound" in epigastrium

 

 

17. When properly in place, secure tube with tape to the nasal bridge

 

 

18. Attach the end of the tube to proper suction

 

 

19. Obtain CXR for proper positioning if anything is to be administered
      into the tube.

 

 

20. Wash hands before leaving the room

 

 

                                                                                                         Pass

 

Date

                                                                               Remediation Required

 

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Student Name (please print) __________________________________

 

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Student Signature__________________________________________________

 

 

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Evaluator Signature________________________________________________

 

 

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