Inserting & Removing Small-Bore NG Feeding Tube

Question 1

Assessment

1.

Answer 1

Verified order for type of tube and feeding schedule.

Question 2

Assessment

2.

Answer 2

Assessed patients knowledge of procedure

Question 3

Assessment

3.

Answer 3

Had patient close each nostril alternately and breathe, examine each naris for patency and skin breakdown

Question 4

Assessment

4.

Answer 4

Reviewed patient’s medical history

Question 5

Assessment

5.

Answer 5

Assessed pts mental status

Question 6

Assessment

6.

Answer 6

Performed physical assessment of the abdomen

Question 7

Planning

1.

Answer 7

Explain procedure to patient, included sensations he or she would feel

Question 8

Planning

2.

Answer 8

Explained how to communicate during intubation

Question 9

Implementation 
1.
2.
3.
4.

Answer 9

1. Identified patient using two identifiers
2. Performed hand hygiene
3. Positioned patient appropriately, obtained assistance if necessary
4. Applied pulse oximeter, measured vital signs

Question 10

Implementation

5.

Answer 10

** determine length of tube to be inserted, marked location properly

Question 11

Implementation

6.

Answer 11

Prepared NG or nasoenteric tube for intubation

Question 12

Implementation
7.
8.

Answer 12

7. Prepare other securing device

8. Applied clean gloves

Question 13

Implementation

9.

Answer 13

Dipped tube with surface lubricant into room temperature water or applied lubricant

Question 14

Implementation

10.

Answer 14

Explained the step, inserted tube through nostril to back of throat, aimed appropriately.

Question 15

Implementation

11.

Answer 15

Had patient flex head toward chest at appropriate time

Question 16

Implementation

12.

Answer 16

Encouraged patient to swallow water and advanced tube as patient swallowed

Question 17

Implementation

13.

Answer 17

** Advanced tube each time patient swallowed until desired length had been passed

Question 18

Implementation

14.

Answer 18

Checked the position of tube in back of throat

Question 19

Implementation

15.

Answer 19

Anchored tube to nose temporarily

Question 20

Implementation

16.

Answer 20

Checked placement of tube by aspirating stomach contents

Question 21

Implementation

17.

Answer 21

Anchored tube to patient’s nose, marked exit site on tube, selected appropriate option for anchoring

a) applied tape properly

Question 22

Implementation

18.

Answer 22

Fastened end of NG tube properly to patients gown

Question 23

Implementation

19.

Answer 23

Assisted patient to a comfortable position

Question 24

Implementation

20.

Answer 24

** obtained x-ray film of chest/abdomen

Question 25

Implementation
21.
22.

Answer 25

21. Applied clean gloves, administered oral hygiene, cleansed tubing at nostril properly
22. Removed gloves, disposed of equipment, performed to hand hygiene

Question 26

Tube Removal
1.
2.
3.
4.

Answer 26

1. Verified order what type of tube and feeding schedule
2. Gathered equipment
3. Explained procedure to patient
4. Performed hand hygiene, applied gloves

Question 27

Tube Removal
5.
6.
7.
8.

Answer 27

5. Positioned patient appropriately
6. Placed disposable pad over patient’s chest
7. Disconnected tube from feeding administration set
8. Removed securement device from the patient’s nose

Question 28

Tube Removal
9.
10.
11.

Answer 28

9. ** instructed pt to take a deep breath and hold
10. ** kinked the tube by folding it over on itself
11. ** withdrew tube in one motion, disposed of tube appropriately

Question 29

Tube Removal
12.
13.
14.

Answer 29

12. Offered tissues to patient
13. Removed gloves, performed hand hygiene
14. Offered mouth care

Question 30

Recording & Reporting

1.

Answer 30

Recorded and reported all pertinent information in the appropriate log

Question 31

Recording & Reporting

2.

Answer 31

Recorded removal of tube and patient’s tolerance

Question 32

Recording & Reporting

3.

Answer 32

Reported any type of unexpected outcome and interventions performed