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Students are capable to explain and simulate helping patients in daily activities using appropriate vocabulary and sentence patterns in English | Indicator: Accurate use of vocabulary and sentence patterns in explaining and simulating helps patients in daily activities

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NGT Feeding

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Deliver food and medicine directly to the stomach or obtain substances from NGT

Used mostly for suctioning stomach contents and secretions

Usually used after abdominal operations is intended to hasten the return of bowel function, prevent pulmonary complications, and diminish the risk of anastomotic leakage

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Gloves

Nasogastric tube

Water-soluble substance (K-Y jelly)

Protective towel covering for client

Emesis basin

Tape for marking placement and securing tube

Glass of water (if allowed)

Straw for glass of water

Stethoscope

60-mL catheter tip syringe

Rubber band and safety pin

Suction equipment or tube feeding equipment

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Review the physician’s order and know the type, size, and purpose of the NG tube.

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Review the physician’s order and know the type, size, and purpose of the NG tube.

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Gather equipment, set up tube-feeding equipment or suction equipment mentioned above.

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Gather equipment, set up tube-feeding equipment or suction equipment mentioned above.

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Briefly explain the procedure to the client and assess his capability to participate.

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Briefly explain the procedure to the client and assess his capability to participate.

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Observe proper hand washing and don non-sterile gloves.

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Observe proper hand washing and don non-sterile gloves.

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Position client upright or in full Fowler’s position if possible.

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Position client upright or in full Fowler’s position if possible.

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 Measure tubing from bridge of nose to earlobe, then to the point halfway between the end of the sternum and the navel.

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 Measure tubing from bridge of nose to earlobe, then to the point halfway between the end of the sternum and the navel.

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Wipe the client’s face and nose with a wet towel.

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Wipe the client’s face and nose with a wet towel.

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Examine nostrils for deformity or obstruction by closing one nostril and then the other and asking the client to breathe through the nose for each attempt.

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Examine nostrils for deformity or obstruction by closing one nostril and then the other and asking the client to breathe through the nose for each attempt.

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Lubricate 4 to 8 inches of the tub with a water-soluble lubricant.

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Lubricate 4 to 8 inches of the tub with a water-soluble lubricant.

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Flex the client’s head forward, tilt the tip of the nose upward and pass the tube gently into the nose to as far as the back of the throat. Guide the tube straight back.

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Flex the client’s head forward, tilt the tip of the nose upward and pass the tube gently into the nose to as far as the back of the throat. Guide the tube straight back.

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Once the tube reaches the nasopharynx, allow the client lower his head slightly. 

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Once the tube reaches the nasopharynx, allow the client lower his head slightly. 

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Instruct the client to swallow as the tube advances.

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Instruct the client to swallow as the tube advances.

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If changes occur in patient’s respiratory status, if tube coils in mouth, if the patient begins to cough or turns cyanotic, withdraw the tube immediately.

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If changes occur in patient’s respiratory status, if tube coils in mouth, if the patient begins to cough or turns cyanotic, withdraw the tube immediately.

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If obstruction is felt, pull out the tube and try the other nostril.

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If obstruction is felt, pull out the tube and try the other nostril.

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Advance the tube as far as the marked insertion point.

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Advance the tube as far as the marked insertion point.

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Check the back of the client’s throat to make sure that the tube is not curled in the back of the throat.

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Check the back of the client’s throat to make sure that the tube is not curled in the back of the throat.

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Check tube placement with these methods.

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Check tube placement with these methods.

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1. Aspirate stomach contents.

2. Check pH of aspirate.

3. Inject 30 mL of air into the stomach and listen with the stethoscope for the “whoosh” of air into the stomach.

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Secure the tube with tape or commercially prepared tube holder once stomach placement has been confirmed.

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Secure the tube with tape or commercially prepared tube holder once stomach placement has been confirmed.