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NG tube insertion Osimplenursing Assessment Risks « Determine indication for + Risk for placement into NG tube insertion. the airway. « Assess for previous « Risk for infection from insertions. - Assess for latex. - Assess for adhesive allergies. « Assess respiratory status. technique. Supplies (NG Tube Kit) « Clean gloves + Feeding tube 7 « Sterile water ry « Lubricant Tape or marking pen « Syringe + pH tape / « Feeding solution : Procedure 1. Confirm HCP order, obtain consent. 2. Confirm client ID and DOB. 3. Provide privacy and introduce yourself. 4. Perform hand hygiene. 5. Explain procedure to family and client. 6. Position the client in Semi Fowler's position with pillows behind the shoulders. 7. Determine the most patent nostril. 8. Measure the length of the tube from the bridge of the nose to the earlobe then the xiphoid process and mark this spot. 9. Don clean gloves. 10. Give the client a drink of water, lubricate the tip of the catheter. 11, When the tube nears the back of the throat, have the client swallow. If resistance is met aim the tip downward. 12. Immediately remove tube if 02 sats drops. 13. Following insertion obtain an X-ray to confirm placement. 14. Connect the tube to suction as ordered. 15. Secure the tube to the client's nose. 16. Aspirate stomach contents and check PH to confirm placement before feeding. 17. Wash hands. 18. Document. not using aseptic « Risk for injury from insertion or removal. en Tip + Check residual and stomach contents prior to administration of meds or feedings. To avoid electrolyte and fluid imbalances replace aspirated contents. Stomach contents pH should be around four. + Most hospital policies require a KUB before administering meds/ ay «Check residual every 4 hours if getting TF. 
