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Prince Sattam Bin Abdulaziz University

College of Applied Medical Sciences
Department of Nursing

Adult and Geriatric Health Nursing-1 / Clinical (NRSG 244)

Nasogastric Tube Feeding
Student Name: _________________________________ Total Marks
Student ID: _________________________________ ( _________ out of 75 )
Instructor: _________________________________

# Behavior Remarks
Assemble equipment. Check amount, concentration, type, and frequency of tube
1 3 1 0
feeding on patient’s chart. Check expiration date of formula.
2 Perform hand hygiene and put on PPE, if indicated. 3 1 0
3 Identify the patient using at least two identifiers. 3 1 0
Explain the procedure to the patient and why this intervention is needed. Answer any
4 3 1 0
questions as needed.
Close the patient’s bedside curtain or door. Raise bed to a comfortable working
5 3 1 0
position
Position patient with head of bed elevated at least 30 to 45 degrees or as near normal
6 position for eating as 3 1 0
possible.
Put on gloves.
7 3 1 0
Verify the position of the marking on the tube at the nostril. Measure length of
8 3 1 0
exposed tube and compare with the documented length.
9 Attach syringe to end of tube and aspirate a small amount of stomach contents, 3 1 0
10 Check the Ph of gastric content using ph strips 3 1 0
11 Visualize aspirated contents, checking for color and consistency. 3 1 0
After multiple steps have been taken to ensure that the feeding tube is located in the
stomach or small intestine, aspirate all gastric contents with the syringe and measure
12 to check for the residual amount of feeding in the stomach. Return the residual based 3 1 0
on facility policy. Proceed with feeding if amount of residual does not exceed
agency policy or the limit indicated in the medical record.
Flush tube with 30 mL of water for irrigation. Disconnect syringe from tubing and
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cap end of tubing while preparing the formula feeding equipment. Remove gloves.
Put on gloves before preparing, assembling and handling any part of the feeding
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system.
Administer feeding - When Using a Large Syringe (Open System)
15 Remove plunger from 30- or 60-mL syringe. 3 1 0
Attach syringe to feeding tube, pour premeasured amount of tube feeding formula
16 into syringe, open clamp, and allow food to enter tube. Regulate rate, fast or slow, by 3 1 0
height of the syringe. Do not push formula with syringe plunger.
Add 30 to 60 mL (1–2 oz) of water for irrigation to syringe when feeding is almost
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completed, and allow it to run through the tube.
When syringe has emptied, hold syringe high and disconnect from tube. Clamp tube
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and cover end with cap.
Observe the patient’s response during and after tube feeding and assess the abdomen
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at least once a shift.
20 Keep the in upright position for at least 1 hour after feeding 3 1 0
1
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21 Remove equipment and return patient to a position of comfort. Remove gloves. 3 1 0

22 Raise side rail and lower bed. 3 1 0
Put on gloves. Wash and clean equipment or replace according to agency policy.
23 3 1 0
Remove gloves.
24 Remove additional PPE, if used. Perform hand hygiene. 3 1 0
25 Documentation 3 1 0

Rating Scale:

Unsatisfactory Practices/Missing
3 Satisfactory Practices 1 Needs Improvements 0
Practices Completely