INSERTING A NASOGASTRIC TUBE (NG) TUBE | SKILLS DEMO

Summary

In this informative video, a nursing professor demonstrates the process of inserting a nasogastric (NG) tube. She outlines essential supplies needed, including gloves, lubricant, and a syringe, while emphasizing the importance of patient comfort and privacy. The video guides viewers through measuring the tubing, proper insertion techniques, and verifying placement using pH strips. The professor provides tips for avoiding complications, such as incorrect placement in the trachea, and explains how to secure the tube in place effectively. The tutorial is designed to be helpful for nursing students and professionals alike, with an invitation to engage with the channel.

Takeaways

• 🧴 Gather all necessary supplies, including gloves, an NG tube, tape, pH strips, lubricant, a syringe, and a cup with a straw.
• 🧼 Wash your hands and verify the patient's identity using two identifiers before beginning the procedure.
• 🚪 Provide privacy for the patient during the procedure, although it is not mandatory.
• 🌡️ Warm the NG tube in room temperature water to help loosen it before insertion.
• 🛏️ Position the patient in a high Fowler's position and adjust the bed height for comfort.
• 📏 Measure the length of the tube from the tip of the nose to the ear and down to the xiphoid process.
• 💧 Lubricate the tube before insertion to make it more comfortable for the patient.
• 👉 Insert the tube at a downward angle toward the opposite ear, utilizing the tube's natural curve.
• 🗣️ Encourage the patient to take small sips of water while advancing the tube to aid with swallowing.
• 🧪 Check tube placement by aspirating gastric contents and testing pH; a pH of 1 to 4 indicates proper placement.

Q & A

What is the purpose of an NG tube?

An NG tube is used to deliver nutrition, medication, or to remove gastric contents from the stomach.

What supplies are needed before inserting an NG tube?

You will need gloves, the NG tube, tape, pH strips, lubricant, a syringe, a cup with a straw, and optionally, a pulse oximeter.

Why is it suggested to warm the NG tube before insertion?

Warming the tube helps to make it more flexible and easier to insert, enhancing patient comfort.

How do you measure the correct length for inserting the NG tube?

Measure from the tip of the nose to the ear and then to the xiphoid process (mid-sternum) to determine how far to insert the tube.

What should you do if the patient starts coughing during the insertion?

Coughing may indicate that the tube is in the trachea instead of the esophagus, so you should stop the insertion immediately and remove the tube.

What role does the patient play during the NG tube insertion process?

The patient is instructed to take small sips of water through a straw to help swallow and guide the tube into the esophagus as it is advanced.

How can you verify proper placement of the NG tube after insertion?

Attach a syringe to the tube to aspirate contents and use pH strips to test the aspirated contents; a pH of 1 to 4 indicates proper placement in the stomach.

What is a stat lock, and how is it used?

A stat lock is a device that secures the NG tube in place by pinching the tubing and adhering it to the patient's nose, preventing accidental dislodgement.

What should be done if the tube does not have markings for measuring?

If the tube lacks markings, you can use a small piece of tape to indicate the measurement at the appropriate length.

What is the importance of monitoring the patient's condition during the NG tube insertion?

Monitoring the patient ensures their safety and allows for immediate intervention if they exhibit signs of distress, such as difficulty breathing or coughing.