At the end of the 4th week I will be able to :

Objectives Strategies Evaluation

 Identify patient and explain the procedure to the patient.
Administration  Assess for feed allergies, time of last feed, bowel sounds and
of Nasogastric laboratory values.
tube feeding.  Place container with feed in warm water.
 Assist patient to fowler’s position and wash hands.
 Spread towel and mackintosh over patient’s chest.
 Done gloves and attach syringe to Nasogastric tube.
 Aspirate stomach contents. If tube placement is confirmed in
stomach pinch the feeding tube and attach barrel of feeding syringe Achieved
to tube.
 Fill syringe barrel with water and allow fluid to flow in by gravity.
 Pour feed into syringe barrel and allow it to flow by gravity. Pinch
tube whenever necessary to stop when pouring.
 After feeding is completed, flush tube with at least 30ml of plane
water. After tube is cleared close end of feeding tube.
 Rinse equipment with warm water and dry.
 Keep head of the bed elevated for 30 to 60 minutes after feeding.
 Wash hands.
 Document type and amount of feeding, amount of water given and
tolerance of feed.
 Monitor for breath sound, bowel sound, gastric distension.
 Instruct patient to notify nurse if he experiences sensation of
fullness, nausea or vomiting.