ROHILKHAND COLLEGE OF NURSING, BAREILLY

PROCEDURE CHECKLIST
ADMINISTERING NASOGASTRIC/ OROGASTRIC
TUBE FEED FOR CHILDREN

S.No. Procedure steps 1 2 3 4 5

1. Explain to mother and older children what will be done and how feeding
through the tube would benefit.
2. Place the child supine with head slightly hyperflexed or in a sniffing
position.
3. Measure the tube for approximate length of insertion and mark the point
with a small piece of tape.
a) Measure the tube from the nose to the bottom of the ear of the ear lobe
and then to the end of the xiphoid process.
4. Insert the tube that has been lubricated with sterile water or water-soluble
lubricant.
a) For insertion through the nostril, slip the tube along the base of nose
and direct it straight back towards the occiput.
b) When the tube enters mouth, direct it to the back of the throat.
5. Check the position of tube by both the following method.
a) Aspiration of stomach contents by applying negative pressure.
b) Injecting a small amount of air (0.5-1 ml in premature & small infants
and 5 ml in older children) into the tube while simultaneously listing
with stethoscope over the stomach area.
6. Stabilize the tube by holding or tapping it to the check, and not to forehead.
7. Make sure the formula feed is warm to room temperature.
8. Pour formula into the barrel of syringe attached to the tubing.
9. Guide with a gentle push on the plunger and then allow the fluid to flow
into the stomach by gravity.
10. Ensure that the rate of flow does not exceed 5ml every 5-10 minutes in
preterm and small infant and 10ml/minute in older infant and children.
11. Flush the tube with sterile water at end of feeding: 1 to 2ml for
small tube 5-15ml for large ones.
12. Apply cap or clamp indwelling tube. If the tube is to be removed, pinch the
end portion and withdraw quickly.
13. Burp the baby after feeding if not contraindicated. Position the child with
head elevated about 30 degree and place on right side or abdomen or at
least 1 hours.
14. Clean the unit and remove used articles. Wash and replace reusable items.
15. Record the feeding including types, amount of formula and how it was
tolerated.
TOTAL SCORE

OBTAINED SCORE

PERCENTAGE

REMARK
 Name of the student_____________________________ Date_________________

Course__________________________________ Class ________________

Name of Instructor/Evaluator: _______________________ Ward/Unit________________

Signature: __________________________

6- Highly Satisfactory – 85-100 Percentage

5 -Satisfactory – 69 – 84 Percentage
4 -Moderately Satisfactory- 52 to 68 Percentages
3 - Moderately Unsatisfactory- 35 to 51 Percentages
2 -Unsatisfactory – 18 to 34 Percentages
1 -Highly Unsatisfactory – 0-17 Percentage

Note:
1. 1, 2, 3, 4, 5 denoting attempt made by the students
2. Each statement will be score by Yes/No and yes contain 1 point & no contain zero point
3. Students who get 85 % or above will get full satisfactory and below will have to make
attempt till the candidate get 85% or above

Remarks by Evaluator: ________________________________________________________

PRINCIPAL