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NG Insertion & Removal



Step 1
Check doctor’s orders.Gather equip Identify patient. Explain procedure. Assess patient’s ability to assist in re-positioning.
NG Insertion & Removal



Step 2
*Wash hands.
NG Insertion & Removal



Step 3
Provide privacy.
NG Insertion & Removal



Step 4
Set up work environment: position bed, trashcan and bedside table.
NG Insertion & Removal



Step 5
Position patient in High Fowlers.
NG Insertion & Removal



Step 6
Put on clean gloves.
NG Insertion & Removal



Step 7
Drape chest with towel. Have emesis basin, tissues and a cup of ice
available.
NG Insertion & Removal



Step 8
Assess nares for patency. Assess abdomen.
NG Insertion & Removal



Step 9
Measure and mark tube.
NG Insertion & Removal



Step 10
Tear tape and place on another piece of tape on bedside table.
NG Insertion & Removal



Step 11
Lubricate tube 4-6 inches with water soluble lubricant
NG Insertion & Removal



Step 12
Instruct pt. to tilt head back.
NG Insertion & Removal



Step 13
Insert tube.
NG Insertion & Removal



Step 14
Advance tube to the pharynx. When tubing reaches pharynx and instruct pt. to touch his/her chin to chest. Have pt. swallow and continue to advance tube to marked measurement.
NG Insertion & Removal



Step 15
Secure tube with tape.
NG Insertion & Removal



Step 16
*Check placement of tube by aspirating a small amount of
gastric contents and checking its pH. Observe color of contents.Measure length of exposed tube.
NG Insertion & Removal



Step 17
Flush tube with 30 ml of water.
NG Insertion & Removal



Step 18
Secure to gown.
NG Insertion & Removal



Step 19
Remove all equipment. Remove gloves. Wash Hands.
NG Insertion & Removal



Step 20
Document.