Date Performed: Final Grade:

Clinical Instructor:

NASOGASTRIC TUBE (NGT) FEEDING

Definition:

Objectives:
1.
2.
3.
Safety/Security Measures:
1.
2.
3.

Equipment:

Pre-procedural Assessment:

1. Introduce yourself to the client and identify client’s identity. Explain what are
going to do, why it is necessary, and how the client can cooperate.
2. Gather the necessary equipment.
3. Provide Privacy
4. Review the patient’s chart for baseline data.
5. Wash hands

PROCEDURE GRAD REMARKS

E
1. Check doctor’s order for formula, rate, frequency of feeding
and expiration date of formula.4
Rationale:

2. Auscultate bowel sounds.

Rationale:

3. Assess client regarding discomfort from tube.

Rationale:
4. Observe insertion site for irritation.
Rationale:

5. Prepare the tube feeding at room temperature. 2

Rationale:

6. Place client to high fowler’s position in bed or to a sitting

position in a chair unless contraindicated. 2
Rationale:

7. Perform medical hand washing, wear clean gloves and

other appropriate infection control measures. 2
Rationale:

8. Check for tube placement and patency by doing any of the

following:1

a. Introduce 5-20 ml pf air into Nasogastric Tube (NGT)

and auscultate at the epigastric area, gurgling sound is
heard. 1
b. Aspirate a gastric content which is yellowish or greenish
in color.
Note: If more than 100 ml of the last feeding is
withdrawn, check with the nurse-in charge or refer to
agency policy before proceeding.2
c. Immerse tip of the tube in the glass of water; no bubbles
should be produced.
Rationale:

9. Infuse feeding through the subsequent steps: 1

a. Pinch proximal end of the feeding tube
b. Attach syringe to the NGT and aspirate gastric contents to
 fill the tube
c. Fill the syringe with measured amount of formula
d. Release the tube and hold the syringe at 12 inches above
the client. Refill; repeat until the prescribed amount has
been given.
Rationale:

10. Flush 30 ml of water into the NGT after the feeding.

Rationale:

11. Clamp NGT before all of the water is instilled.

Rationale:

12. Ask client to remain in Fowler’s position 30 minutes to one

hour after feeding.4
Rationale:

13. Do after- care.

Rationale:

14. Discard gloves and perform medical hand washing.

Rationale:

15. Evaluate client’s tolerance and response to feeding

16. Observe client for complaints of nausea and vomiting
Rationale:
17. Record amount, type and time of feeding
18. Document client’s response and tolerance to tube feeding.
Rationale:

 Ability to answer questions

 Definition
 Objectives
 Principles
TOTAL
Signature of the Clinical Instructor:

Reference/s:
1
Adion,D. & Dizon, E. (2009). Manual and Checklists on Health Care Procedures. 1st
edition. Manila: Educational Publishing House.
2
Kozier, Barbara. & Erb, Glenora(2008).Kozier & Erb’s Fundamentals of Nursing
Checklist. 8th ed. Philippines: Pearson Education, Inc.
3
Potter, Patricia et.al (2017). Fundamentals of Nursing. 9th ed. Philippines: Elsevier Pte. Ltd.
4
Taylor, Carol., Lillis, C. & Le Mone, P. (2001). Fundamentals of Nursing The Art and Science
of Nursing Care. 3th ed.