NGT

MISSION
MABINI COLLEGES, INC. “MABINI COLLEGES provides quality instruction,

VISION research and extension service programs at all educational
“MABINI COLLEGES shall cultivate a Governor Panotes Avenue, levels as its monumental contribution to national and global
CULTURE of EXCELLENCE in Daet, Camarines Norte growth and development.
education.” Specifically, it transforms students into:
Tel. no. (054) 721-1281 local 109 1. God – fearing
2. Nation – loving
mabinicollege@hotmail.com 3.
4. Earth caring
5. Productive, and
6. Locally and Globally competitive persons
7.
NG/OG Tubes Placement- NICU

DEFINITIONS
A gastric tube is a tube passed into the stomach via the nose or mouth as a means of meeting
a patient’s nutritional needs, administering medications, rehydration and decompression
of the stomach.
Gastric tubes are short or long term devices that can come with or without a guide-wire.
The manufacturer’s recommendations must be followed to ascertain maximum dwell times
and specific instructions regarding insertion.
INDICATIONS
 Prematurity
 Feeding immaturity
 Poor oro-motor skills
 Infants receiving assisted ventilation
Uses
 Enteral feeding
 Medication
 Assess gastric residual volume,content, Ph
 Vent or gravity drainage
 Decompression of stomach
Contraindications
 Anatomical abnormalities e.g. esophageal atresia
Complications of feeding tube placement may include:
 Apnea
 Bradycardia
 Mucosal irritation;Perforation
 Worsening of gastr-esophageal reflux
Guide to gastric tube sizes

5F for < 2000 gms
6F for >2000 gms
MISSION
4. Earth caring
5. Productive, and
7.
Equipment
Feeding tube
Syringe
Sterile water
Tape
Marker
Gloves
stethoscope
Sterile field
Procedure
1. Obtain a physician’s order for NG or OG insertion
2. Assemble all required equipment. ***Do not leave catheter under radiant warmer
light for ANY LENGTH of time, or it will become too soft for insertion.
3. Infant may be in prone position or head turned to right side.
4. Measure the length of tubing from the infant’s nose to the infant’s earlobe, then to the
tip of the xyphoid process mark the position of the tube.
5. Flex the newborn’s chin on his chest to facilitate passage. The tube may be lubricated
with sterile water. Insert tube to the distance measured through mouth or nares
pointing downward. ***** If resistance is met, discontinue procedure and notify
physician.
6. Check for tube placement by aspirating stomach contents, and by instilling 0.5 ccs of
air into tube while auscultating with stethoscope over the epigastric region.
7. Monitor the infant’s heart rate and color during procedure.
8. After desired placement has been reached, secure with tape (avoid occlusion of the
Nares)
9. Document size of the catheter used, time of insertion, infant’s toleration of procedure,
vital signs and amount of aspirate or residual obtained.
Firstly, measure using the tube from the tip of the nose to the bottom of the ear lobe
MISSION
4. Earth caring
5. Productive, and
7.
Secondly measure from the bottom of the ear lobe to the observed midpoint between the xiphoid process
and the umbilicus
Gently insert into one nostril and advance tube posteriorly aiming the tube parallel to nasal septum and
superior surface of hard palate
Suggested taping for securing NG

MISSION
4. Earth caring
5. Productive, and
7.
Name: ________________________________________________________ Date: _______________

Course & Year: ___________________________________

CHECKLIST ON NG/OG TUBE PLACEMENT- NICU
PROCEDURE PERFORMED MASTERED COMMENTS
YES NO
Assessment:
1. Assess the infants
for any signs of
coughing, apnea,
bradycardia,
respiratory
distress or
cyanosis.
Planning
2. Prepare and
assemble all the
equipment
Implementation:
3. Place the infant in
prone position or
turn to right side
4. Measure the
length of tubing
from the infant’s
nose to the
infant’s earlobe,
then to the tip of
the xyphoid
process mark the
position of the
tube.
5. Flex the
newborn’s chin on
his chest to
facilitate passage.
6. Checked for tube
placement by
aspirating
stomach contents,
and by instilling
MISSION
4. Earth caring
5. Productive, and
7.
0.5 ccs of air into

tube while
auscultating with
stethoscope over
the epigastric
region.
7. Monitored the
infant’s heart rate
and color during
procedure.
8. Secured the tube
properly with the
tape.
Evaluation:
9. Evaluate the
condition of the
neonates after the
procedure if there
is any signs of
complications.
Documentatio:
10. Document size of
the catheter used,
time of insertion,
infant’s toleration
procedure, vital
signs and amount
of aspirate or
residual obtained.
Rating Scale: Excellent 96-100%; Very satisfactory: 90-95%; Very Good: 85-89%;
Good 80-84%; Fair 75-79%; Poor 74 & below
Rating: _______________
Signatures:
Student: __________________ Evaluated by: Junior CI:______________________
Noted By: Clinical Instructor: ________________________
MISSION
4. Earth caring
5. Productive, and
7.
Name: ________________________________________________________ Date: _______________

Course & Year: ___________________________________

CHECKLIST ON NG/OG TUBE PLACEMENT- NICU
PROCEDURE PERFORMED MASTERED COMMENTS
YES NO
Assessment:
1. Assess the hands
for visible soiling ,
breaks or cuts in
the skin and
cuticles.
Planning
2. Assemble all the
equipment
Implementation:
3. Remove the
jewelry and watch
and push long
sleeves above the
elbow, uniforms
must not touch
the sink.
4. Adjust the water
to appropriate
temperature and
flow.
5. Wet elbow down
to the hands
under running
water always
keeping hands
lower than elbow.
6. Lather hands with
liquid soap or if
bar soap is used,
wash soap and
lather hands.
Note: if bar soap is
accidentally
MISSION
4. Earth caring
5. Productive, and
7.
dropped repeat
the procedure.
7. Return bar soap in
the soap dish
without touching
the disk.
Evaluation:
8. Wash hands
thoroughly using
firm circular
motion and
friction on the
back of the hands,
palms and wrists.
Wash each finger
individually
paying attention
to the areas
between fingers
and thumb
moving hands
back and forth.
Relather if
necessary
Documentatio:
9. Document size of
the catheter used,
time of insertion,
infant’s toleration
procedure, vital
signs and amount
of aspirate or
residual obtained.
Rating Scale: Excellent 96-100%; Very satisfactory: 90-95%; Very Good: 85-89%;
Good 80-84%; Fair 75-79%; Poor 74 & below
Rating: _______________
Signatures:
Student: __________________ Evaluated by: Junior CI:______________________
Noted By: Clinical In

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MISSION

MABINI COLLEGES, INC. “MABINI COLLEGES provides quality instruction,

NG/OG Tubes Placement- NICU

 Anatomical abnormalities e.g. esophageal atresia

Complications of feeding tube placement may include:

Guide to gastric tube sizes

Suggested taping for securing NG

Name: __________________________________________ Date: _

NG/OG Tubes Placement- NICU

0.5 ccs of air into

Name: __________________________________________ Date: _

NG/OG Tubes Placement- NICU

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