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Insertion of NG tube

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Question
Answer
Check the Order & gather supplies (including a glass of water and straw)    
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Identify the Patient with 2 identifiers    
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Explain the procedure to the patient    
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Wash hands    
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Provide Privacy    
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Place the client in the High Fowlers position and raise the bed to a comfortable working level.    
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Determine the length of the tubing by measuring from the back of the ear to the tip of the nose, and to the xyphoid process. Mark the spot with a piece of tape.    
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Squeeze out the lube into the basin    
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Place absorptive pad on the clients chest & place a basin near the patient as well, incase they get sick.    
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Don gloves    
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Hand the patient the glass of water and explain to them it will help to ease the tube down into the stomach.    
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Lubricate the tip of the tubing and gently insert into the nostril advancing the tubing to the posterior pharynx.    
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Have the client tilt forward, take a deep breath and have them drink the water slowly, advance the tube, until the marked portion is reached.    
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Apirate the gastric contents about 20 mls, and check the pH level. If its less than 5, it is in the stomach. (it will be red)    
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Tape the tube to the clients nose and measure the remaining distance of the tube.    
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Anchor the tubing to the clients gown, and then this is when you would begin suctioning.    
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Discard of all supplies and gloves.    
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Check the patient's pain level and make sure they are comfortable    
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Lower the bed and raise the side rail    
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Make sure the call bell is within reach.    
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Wash hands.    
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document the procedure. Note the color, pH, patients response, length of tube remaining    
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Created by: jessicaspring
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