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MODULE OF SKILL LABORATORY PRACTICE

BLOCK : GASTRO-INTESTINAL SYSTEM
TOPIC : PROCEDURE FOR INSERTING NASOENTERIC TUBE

I. GENERAL OBJECTIVE
After finishing skill practice of procedure for inserting Nasoenteric Tube, the
student will be able to perform procedure for inserting Nasoenteric Tube
correctly.

II. SPECIFIC OBJECTIVES
At the end of skill practice, the student will be able to perform procedure for
inserting Nasoenteric Tube correctly

III. SYLLABUS DESCRIPTION
3.1 Sub Module Objective
After finishing skill practice of aseptic techniques procedure, student will
be able to perform for inserting Nasoenteric Tube correctly.
3.2 Expected Competencies
Perform procedure for inserting Nasoenteric Tube correctly

3.3 Topics
Procedure for inserting Nasoenteric Tube

3.4 Methods
a. Presentation
b. Demonstration
c. Coaching
d. Self practices

3.5 Laboratory Facilities
1. Skills Laboratory
2. Clinical Instructors
3. Student Learning Guide
4. Instructor guide
5. References
6. Equipment
7. Standardized patient

3.6 Evaluation
a. Skill demonstration
b. Point nodal evaluation
c. OSCE

IV. EQUIPMENT ARRANGEMENT
All equipment required for this topic include :
1. Multimedia equipment
2. Examination couch
3. Table

Dry and warm your hands with tissues Implementation 1. Procedure Comment 1 2 3 4 Preparation 1. Explain the procedure and its goals to the patient. Water tap with running water 2. 4. Stethoscope 6. Pelvic models V. Nasoenteric tube VI. Chairs 5. Place patient in sitting position with neck flexed slightly and head of bed elevated to 45 degrees (semi fowler) 4. SUPPORTING EQUIPMENT AND FACILITIES 1. Check all the equipment required and have a good condition : Nasoenteric Tube Stylet Hand gloves Lubricant Aquadest Stetoscop Syringe 10 cc Steril Drape Lamp/ penlight Plester Scissor Clamp 2. Wash basin 3. Explain procedure and its purpose 3. Clean the nares if dirty using steril gauze . Provide privacy 2. 3. Inspect nares and determine optimal patency by having the patient breathe through one nostril while the other is occluded temporarily. LEARNING GUIDE OF INSERTING NASOENTERIC TUBE No. Wash your hands with antiseptic soap 4.

ask him or her to swallow water to facilitate tube passage 13. CRITERIA OF PERSONAL PERFORMANCE EVALUATION . Observe the gastric content (is it blood. withdraw the tube into the naso pharinx.etc) **** Note Global rating VII. Looking gastric content. Place the drape to the patient’s chest 7. and then reattempt passage. Lubricate stylet about 10 cm and insert into feeding tube 10. If the patient begins to cough. Wash hand and using steryl hands gloves 6. end of NGT drawn to aqua 2. Using spuit given air follow NGT and hearing the air buble through stetoscop on epigastric position and then abdominal x-ray film. Once the tube is beyond the nasopharynx. 5. Have the patient flex the neck and swallow while the tube is advanced 15. Secure tube to bridge of nose or upper lip with nonallergic tape or tube attachment device. Estimate distance for placement into stomach by measuring the length from the tip of the nose to the earlobe and then from the earlobe to the xiphoid process. 11. 9.**** 17. allow the patient to rest 14. 18. 16. Confirm the passage into stomach by aspiration of gastric contents first with 2 technique : 1. mucus. Lubricate the end of the tube or activate the self lubricant with water and pass it posteriorly 12. Observe marking on shaft of tube for guidance or with clamp 10. Lubricate chosen nostril with water-soluble lubricant. If The patient is alert and cooperative.

60% from whole items for each step precisely 3. If student are doing the task that fill at least EXCELLENT 80% from whole items for each step precisely . If students are doing the task that only fill less than 35% of whole items for each step LOW precisely 2. PERFORMANCE ACHIEVEMENT COMMENT SCALE 1. If student are doing the task that only fill MILD 35% . If student are doing the task that only fill MODERATE 60% .78% from whole items for each step precisely 4.