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Copyright © 2007, F. A. Davis Company, Wilkinson & Van Leuven/Procedure Checklists for Fundamentals of Nursing
patient flex his head toward the chest.
11. Rotates the tube 180°.
12. Directs patient to sip and swallow the water while
slowly advancing the tube.
13. Advances tube 2–4 inches (5–10 cm) with each
swallow until marked length is reached.
14a. If patient gags, stops advancing the tube and has
patient take deep breaths and drink a few sips of water.
14b. If gagging continues, uses a tongue blade and penlight
to check tube position in the back of the throat.
14c. If the tube is coiled in the back of the throat, the
patient coughs excessively during insertion, the tube does
not advance with each swallow, or the patient develops
respiratory distress, withdraws the tube and allow the
patient to rest before reinserting.
14d. Variation: To Advance the Tube Into the
Duodenum:
After the tube is in the stomach, positions patient on his
right side; advances the tube 5 to 7.5 cm (2 to 3 inches)
hourly, over several hours (up to 24 hours) until
radiography confirms placement.
15. When tube is in place, secures it temporarily with one
piece of tape so it does not move while confirming
placement.
16. Verifies tube placement at the bedside by:
a. Aspirating stomach contents and measuring pH.
b. Confirms “a” by injecting air into the NG tube and
auscultating, or asking patient to speak. (See Technique
28-4 in Volume 2.)
17. After confirming placement, secures tube with tape
or a tube fixation device.
Tape:
a. Applies skin adhesive to patient’s nose and allows it
to dry.
b. Removes gloves and tears one end of the
hypoallergenic tape lengthwise for 2 inches (5cm)
c. Applies the intact end of the tape to the patient’s nose.
d. Wraps the 2-inch (5 cm) strips around the tube where
it exits the nose.
e. Alternatively, uses 1-inch tape; applies one end to
patient’s nose, wraps the middle around the tube, and
secures the other end to the opposite side of the nose.
Alternative: Uses Fixation device: Places the wide end of
the pad over the bridge of the nose; positions the connector
around the tube where it exits the nose.
18. Ties a slipknot around the tube with a rubber band.
Copyright © 2007, F. A. Davis Company, Wilkinson & Van Leuven/Procedure Checklists for Fundamentals of Nursing
Secures the rubber band (or tape) to the patient’s gown
with a safety pin.
Student: Date:
Instructor: Date:
Copyright © 2007, F. A. Davis Company, Wilkinson & Van Leuven/Procedure Checklists for Fundamentals of Nursing