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Nasogastric (NG) Tube Insertion Checklist: Lab Clin Clin Tasks Attempted 1 2 3 4 5 6 7

The document is a checklist for nursing students to use when performing nasogastric tube insertions. It contains 29 tasks that students must complete satisfactorily like checking orders, introducing themselves, explaining the procedure to the patient, measuring and marking the tube, inserting the tube, securing it, and documenting. Students are evaluated and must receive satisfactory marks for each task by instructors who observe and sign off on their performance.

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Richard Patterson
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129 views5 pages

Nasogastric (NG) Tube Insertion Checklist: Lab Clin Clin Tasks Attempted 1 2 3 4 5 6 7

The document is a checklist for nursing students to use when performing nasogastric tube insertions. It contains 29 tasks that students must complete satisfactorily like checking orders, introducing themselves, explaining the procedure to the patient, measuring and marking the tube, inserting the tube, securing it, and documenting. Students are evaluated and must receive satisfactory marks for each task by instructors who observe and sign off on their performance.

Uploaded by

Richard Patterson
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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The University of the West Indies

Faculty of Medical Sciences


The UWI School of Nursing, Mona
Year II
BScN

Nasogastric (NG) Tube Insertion


Checklist

Student’s ID: _______________________ Student’s Name _________________________


Scores: Satisfactory (1 point), Unsatisfactory /omitted task (0 point)
Lab Clin Clin
TASKS ATTEMPTED 1st 2nd 3rd 4th 5th 6th 7th
S U S U S U S U S U S U S U
1. Checks patient’s chart for order for NG tube
insertion.
2. Performs hand hygiene.
3. Gathers and cleanses necessary equipment
and supplies.
4. Introduces self to the patient and family.
5. Identifies the patient.
6. Provides privacy.
7. Explains procedure to the patient.
8. Discusses the associated discomforts that may
be experienced and possible interventions that
may allay this discomfort.
9. Raises the bed to a comfortable working
height.
10. Performs abdominal assessment.
11. Positions the patient with the head of the bed
at least 450 or a sitting position.
12. Places the incontinent pad.
13. Has the emesis basin and tissues handy.
14. Dons non-sterile gloves
15. Measures the distance to insert the tube.
16. Marks the tube with a marker or tape.
17. Lubricates the tip of the tube (at least 2 inches
to 4 inches) with water-soluble lubricant.
18. Applies topical anaesthetic to nostril and
oropharynx, as appropriate.
19. Selects the appropriate nostril.
Lab Clin Clin
TASKS ATTEMPTED 1st 2nd 3rd 4th 5th 6th 7th
S U S U S U S U S U S U S U
20. Asks the patient to slightly flex the head back
against the pillow.
21. Gently inserts the tube into the nostril while
directing the tube upward and backward
along the contour of the nose.
22. When the pharynx is reached instructs the
patient to touch their chin to their chest.
23. Encourages the patient to sip water through a
straw or swallow even if no fluids are
permitted.
24. Advances the tube in a downward and
backward direction when the patient
swallows.
25. Stops when the patient breathes.
26. Checks the placement of the tube with a
tongue depressor and a flashlight and stop
advancing the tube if gagging and coughing
persists.
27. Intervenes appropriately id met with
resistance.
28. Intervenes appropriately if the patient exhibits
signs of distress.
29. Stabilizes the tube while checking for
appropriate placement.
30. Uses multiple methods to determine proper
placement.
31. Clamps the tube.
32. Secures the tube with tape.
33. Closes the end of the tube and removes
clamp.
34. Assists the patient with oral hygiene.
20. Observes the patient’s response during and
after the procedure.
21. Provides appropriate instruction thought the
procedure.
22. Offers comfort and reassurance throughout
the procedure as necessary.
23. Removes gloves.
24. Ensures patient safety.
Lab Clin Clin
TASKS ATTEMPTED 1st 2nd 3rd 4th 5th 6th 7th
S U S U S U S U S U S U S U
25. Ensures patient comfort.
26. Dons unsterile gloves.
27. Discards disposable equipment and clean
reusable equipment.
28. Washes hands.
29. Documents.
TOTAL

Evaluators’ Comments:

1st Date: ___________________

Name & Signature

2nd Date: ___________________

Name & Signature

3rd Date: ___________________

Name & Signature


4th Date: ___________________

Name & Signature

5th Date: ___________________

Name & Signature

6th Date: ___________________

Name & Signature

7th Date: ___________________


Name & Signature

Student’s Signature:

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