Inserting a Nasogastric / Nasointestinal Tube

Procedure Done Not Student`s Notes

Correct Incorre Done Score
ct

1-Perform hand hygiene and organize

equipment.
2- Explain procedure to client.
3- Place client in semi-Fowler's position
and check for nasal patency.
4- Don gloves and measure length of
tubing needed by using tube and measure
distance from tip of nose to earlobe and
then from earlobe to xiphoid process.
Mark the location on the tubing with a
small piece of tape
5- Dip in a water-soluble lubricant or dip
feeding tube in water to lubricate tip.
6- Ask client to tilt head backward; insert
tube into clearer naris.
7- As tube is advanced, have client hold
head and neck straight and open mouth
8- When tube is seen and client can feel
tube in pharynx, instruct client to swallow
(offer ice chips or sips of water, unless
contraindicated.
9- Continue to advance tube further into
esophagus as client swallows (if client
coughs or tube curls in throat, withdraw
tube to pharynx and repeat attempts);
between attempts, encourage client to
take deep breaths.
10- When tape mark on tube reaches
entrance to naris, stop tube insertion and
check placement by:
 Auscultation by administering air
and listen to the swooshing sound
over the abdomen.
 Aspirating the secretion with a
syringe and checking pH of
drainage (pH between 1 and 5 may
indicate gastric secretions; pH of 7
or higher may indicate intestinal
placement).
  Xray
11- Secure tube by attaching
commercially prepared tube holder or by a
tape.

12- Reposition client for comfort.

13- Perform hand hygiene.
14-Documentation.
Total

Total Marks:_____

Signature of Faculty Member:_____________________ / ______________________