Procedure For Removing A Nasogastric Tube

OBJECTIVE: To check if the patient can tolerate oral feeding.

CONTRAINDICATION: Continuing need for feeding/suction.

AFTER CARE:
a.    Discard the disposasble equipment used.
b.    Wash your hands.
c.    Position the patient in a comfortable or in his desired position.

CHARTING:
a.    Record date of removal of nasogastric tube.
b.    Record client’s response.
c.    Record measurement of drainage.

NURSING ALERT:
Removal is easier with the patient in semi-Fowler’s position.

EQUIPMENT:
1.    Tissues
2.    Plastic disposable bag
3.    Bath towel or disposable pad
4.    Clean disposable glove

ACTION
1. Check physician’s order for removal of nasogastric tube.
Rationale:   Ensures correct implementation of physician’s order.

2. Explain procedure to client.
Rationale: Explanation facilitates client cooperation..

3. Gather equipment.
Rationale: Provides for organized approach to task.

4. Wash your hands. Don clean disposable glove on hand that will remove tube.
Rationale: Handwashing deters the spread of microorganisms. Gloves protect hand from contact with abdominal secretions.

5. Discontinue suction and separate tube from suction. Unpin tube from cleint’s gown and carefully remove adhesive tape from bridge of nose.
Rationale:  Allows for unrestricted removal of nasogastric tube.

6. Place towel or disposable pad across client’s chest. Hand tissues to client.
Rationale: Protects client from contact with gastric secretions. Tissues are necessary if client wishes to blow his nose when tube is removed.

7. Instruct client to take a deep breath and hold it.
Rationale: Prevents accidental aspiration of any gastric secretions in tube.

8  Clamp tube with fingers. Quickly and carefully remove tube while client holds his breath.
Rationale: Minimizes trauma and discomfort for client. Clamping prevents any drainage of gastric contents in tube.

9 Place tube in disposable plastic bag. Remove glove and place in bag.
Rationale: Prevents contamination with any microorganisms.

10. Offer mouth care to client and make client feel comfortable.
Rationale: Provides comfort.

11. Measure nasogastric drainage. Remove all equipment and dispose according to agency policy. Wash your hands.
Rationale: Measuring nasogastric drainage provides for accurate recording of output. Proper disposal deters spread of microorganisms.

12. Record removal of nasogastric tube, client’s response, and measurement of drainage.
Rationale: Facilitates documentation and provides for comprehensive care.


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