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12 Cards in this Set
- Front
- Back
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1 |
Verify medical order for insertion of an NG. Gather equipment and select the appropriate tube |
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2 |
Hand hygiene and put on PPE Provide privacy Identify the pt using 2 identifiers and introduce self Explain procedure, rationale, discomfort, relief measures, and answer questions |
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3 |
Assemble equipment and label reusable Elevate bed and place in high fowlers Hand sipping glass to assistance Prepare 2 pieces of tape Set up suction Put on gloves |
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4 |
Properly measure the tube length to be inserted Mark tube Assess nares Drape chest and hand pt emesis basin and tissue Lub tip 2-4 inches |
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5 |
Have pt flex head back Gently insert directing along floor of nose When pharynx is reached, tuck chin Sip water and only insert while swallowing Do not force/rotate the tube if resistant |
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6 |
If gagging and coughing persist, stop and check placement Comfort and reassure pt If curled, straight tube and continue Discontinue the procedure if there is distress |
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7 |
Apply skin barrier to nose Secure tube loosely to the nose Aspirate and measure pH Assess contents Measure remaining length and secure to gown |
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8 |
Verbalize x ray order Remove gloves and tape tube to nose Pin tube gown and place vent at shoulder level Attach to suction |
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9 |
Remove from suction Don gloves and fill syringe with 30 mL Place syringe in tube and unclamp Do not force solution Observe for return flow and connect to suction |
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10 |
If unable to irrigate, reposition and try again If it still doesn't work, consult with primary Tube may be positioned against gastric mucosa making it difficult to irrigate |
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11 |
Perform oral cares Remove gloves Position in more comfortable position Rinse reusable equipment |
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12 |
Document procedure, tube size, measurements, nare used, suction setting, irrigation, content's characteristics, pH, I&O, and pt tolerance |
