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
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Not Competent
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1. Wash hands
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2. Identify patient (name and DOB) and explain procedure to patient
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3. Gather/check equipment:
(gloves, mask, tube, lubricant, tape, syringe, water, emesis basin,
suction, stethoscope)
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4. Put on protective gloves
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5. Estimate distance of tube insertion (use black lines as
guide)
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6. Inspect nose and identify optimal nostril for NG tube insertion
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7. Position patient sitting, with head in "sniffing position".
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8.. Lubricate tip of tube
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9. Insert tube parallel to the floor of the nasal canal
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10. Insert to level of oropharynx (patient may gag at this point)
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11. When gagging ceases (may need to pull tube back slightly), instruct
the patient to drink sips of water
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12. Insert tube remainder of distance into stomach while patient
swallows water
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13. Check for designated black mark to determine proper distance of
insertion
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14. Check to make sure patient can talk, and not coughing or breathless
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15. Attach piston syringe to end of tube, draw back to aspirate stomach
contents.
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16. If no return, insufflate 30 cc of air, while auscultating for "bubble
sound" in epigastrium
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17. When properly in place, secure tube with tape to the nasal bridge
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18. Attach the end of the tube to proper suction
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19. Obtain CXR for proper positioning if anything is to be administered
into the tube.
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20. Wash hands before leaving the room
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Pass
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Remediation Required
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Student Name (please print) __________________________________
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Date
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Student Signature__________________________________________________
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Evaluator Signature________________________________________________
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Date
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