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Removing NGT

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Direction: Note the following checklist to be considered in your return demonstration

NDT3 CHECKLIST

REMOVING A NASOGASTRIC TUBE

Name: ____________________________ Score:

Block: ______________________________ Date: ______________

PROCEDURE CODE: NDT3

Removing a Nasogastric Tube Performed Comments

YES NO

GOALS

■ For the presence of bowel sounds

■ For the absence of nausea or vomiting


when tube is clamped

EQUIPMENT

■ Disposable pad or towel

■ Tissues

■ Clean gloves

■ 50-mL syringe (optional)

■ Plastic trash bag

Preparation

■ Confirm the primary care provider’s


order to remove the tube.

■ Assist the client to a sitting position if


health permits.

■ Place the disposable pad or towel


across the client’s chest to collect any
spillage of secretions from the tube.

■ Provide tissues to the client to wipe


the nose and mouth after tube removal.

1 Prior to performing the removal,


introduce self and verify the client’s
identity using agency protocol. Explain

to the client what you are going to do,


why it is necessary, and how he or she
can participate. Discuss how the results
will be used in planning further care or
treatments.
2 Perform hand hygiene and observe other
appropriate infection control procedures
(e.g., clean gloves).

3 Provide for client privacy.

4 Detach the tube.

• Apply clean gloves.

Disconnect the nasogastric tube from the


suction apparatus, if present.

• Unpin the tube from the client’s gown.

• Remove the adhesive tape securing the


tube to the nose.

5 Detach the tube.

• Apply clean gloves.

• Disconnect the nasogastric tube from


the suction apparatus, if present.

• Unpin the tube from the client’s gown.

• Remove the adhesive tape securing the


tube to the nose.Ask the client to take a
deep breath and to hold it.

Rationale: This closes the glottis,


thereby preventing accidental aspiration
of any gastric contents.

• Pinch the tube with the gloved hand.


Rationale: Pinching the tube prevents
any contents inside the tube from
draining into the client’s throat.

• Smoothly, withdraw the tube.

• Place the tube in the plastic bag.


Rationale: Placing the tube immediately
into the bag prevents the transference of
microorganisms from the tube to other
articles or people.

• Observe the intactness of the tube.

6 Ensure client comfort.

• Provide mouth care if desired.

• Assist the client as required to blow the


nose. Rationale: Excessive secretions
may have accumulated in the nasal
passages.
7 Dispose of the equipment appropriately.

• Place the pad, bag with tube, and


gloves in the receptacle designated by
the agency. Rationale: Correct disposal
prevents the transmission of
microorganisms.

• Remove and discard gloves. Perform


hand hygiene.

8 Document all relevant information.

• Record the removal of the tube, the


amount and appearance of any drainage
if connected to suction, and any relevant
assessments of the client.

Remarks:

_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
_________________________________________________________________________________________

Rating Scale:
Very Satisfactory: 88 – 90% ______________________________________________

Satisfactory: 80 – 87% Student’s Printed Name and Signature

Needs Improvement: 75 – 79%


______________________________________________
Poor: 74 and below Skills Laboratory Instructor
Printed Name and Signature

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