NG (Nasogastric) Tube Insertion Techniques (Nursing Skills)

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NG (Nasogastric) Tube Insertion Techniques (Nursing Skills)
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NG (Nasogastric) Tube Insertion Techniques (Nursing Skills)
In this video we’re going to show you the correct technique for insertion of an NG tube or Nasogastric tube). We’ll also give you a few tips and tricks we use. Of course, before you get started, make sure you’ve determined which nare is more patent and that the patient doesn’t have a deviated septum. Before you start, lay a towel across the patient’s chest - I’m telling you I’ve had patients throw up on me - this step is WORTH IT!! We love you guys! Go out and be your best selves today! And, as always, happy nursing!
Bookmarks:
0.05 Introduction to NG Tube Insertion techniques
0.25 Towel placement
0.32 Measuring NG tube length
1.04 Tape preparation
1.27 Give patient water
1.34 NG Tube lubrication
1.42 NG Tube insertion technique
2.25 Securing the NG tube
2.36 Checking placement/ aspiration
2.55 Assessing pH
3.08 Confirming placement
3.22 Waiting for abdominal X-ray
3.35 Supply clean-up
3.48 NG Tube insertion outro
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[@Yohannesboy]

Beautiful presentation! Thank you!

[@mollyharrison6860]

Inserting my first NG tube tomorrow in clinicals. Great refresher video!

[@hexmaterialgworl]

How did it go??

[@mollyharrison6860]

@@hexmaterialgworl well, the patient had severe Down Syndrome, so he was unable to follow the swallowing command. Unfortunately the tube ended up in his lungs, which my nurse told me was not uncommon. But we tried again while putting his straw in his mouth which got him to swallow, and it went right in!!

[@hexmaterialgworl]

@@mollyharrison6860 Thank you for sharing! I have yet to insert my first NG tube in clinicals and am slightly nervous, I'm glad you had a good nurse help you out with that!

[@aaronreeder5753]

@@hexmaterialgworl if the patient is alert/ oriented, recommend some lidocaine jelly for them to snort down their nose and swallow prior to the NG insertion. This helps immensely with the discomfort. You can also use leftover jelly to lube the tube. If you don't have this, use lube of some type. Really helps with insertion and prevent any trauma to the tissues. Also, it is helpful to look into the nostrils with an otoscope before insertion to see which nostril is bigger and how the passageway angles towards the throat. Everyone's anatomy is different and sometimes there are dead ends in the nose, but if you look down the nostrils first you can see how to angle your tube and avoid this. Just shoving straight in is kind of a gamble.

[@hexmaterialgworl]

@@aaronreeder5753 Thank you so much for the tips I appreciate it!!

[@_peanutttbuttercupcakes_3695]

Thank you, NURSINGcom! ❤️

[@mrsolanki2580]

Love from india . ..l start learning from your videos

[@notadweeb1074]

Inserting my Ngt today!

[@FranciscoRodriguez-cm1yx]

Thanks for the informative and educational 5 minute video. I just subscribed. ♥️♥️

[@frankie6207]

Thank you for the help.

[@ivonelopesbonfanti2311]

Thanks from Brazil

[@sachini6651]

Thank you....good video..

[@whysoserious6232]

thank you

[@bruce9987]

Here in the US Minnesota always do an x-ray after insertion and no suction prior to x-ray no measuring a pH, you stated don't pass any through the tube until you got an x-ray you drew back gastric content measured the pH and then you re-injected 60ml of gastric content back to the patient not wise to do could cause the patient to aspirate if not in the right location.

[@momeforatenkeng9642]

yes I thought as much too... it wasn't so healthy to push it back into the patient... and I think even if the xray is done and ng tube confirmed in right position, the gastric aspirate done equally it shouldn't be sent back... it's like patient having a taste of his vomitus again...

[@NoirMC187]

​@@momeforatenkeng9642You need to inject the gastric juice back for several reasons but including the biggest reason; to continue their digestion- especially for those who are emaciated or extremely injured/burned. When you're injecting the gastric juice back they're not tasting their own vomit. That's silly.

[@NoirMC187]

​@@momeforatenkeng9642They need every bit of that digestion for proper healing.

Thank you

[@ahmedhesham4921]

Thanks❤❤😊

[@nokuthulaskitchen1849]

Wow! I am a nurse jn Germany and at the hospital i work at, we don’t do an xray. We just do an air bolus and aspirate. We don’t check the ph-level either.

[@brownah]

RIP all your patients

[@bensoniwe2437]

Thats the old school method. They started doing ph and xray many years ago

[@pupagg723]

In Australia you have to do X-ray after ng insertion and the Dr has to confirm the ngt placement my documentation . If ngt is dislodged then the pt needs to have X-ray done again

[@lvi_gaming_yt2017]

Some things happen just in theory lol 😛

[@matildajohnkennedy3790]

We do xray here in America

[@ronefana4015]

thx

[@hassenabdella3296]

Excellent explanation. Just one thing , we do chest xray to confirm NGT positioning of stomach and not coiling inside lung... cheers

[@user-mh2ug9zf2c]

its good i am Ethiopian bsc nursing 3rd year student

[@Judi_tousy]

the U stands for ureter not uterus. Thanks for such an informative video, always helpful

[@sherryali8819]

She said ureter

[@UnayUnay-mb4tf]

it's nice

[@keishiekim6111]

it that the xiphoid process where you marked it? it looks like the stomach

[@kinishaj215]

In Guyana they do not do X ray to confirm the placement of the NG tube and they have patient care assistant doing this process which is wrong

[@kinishaj215]

What position should the patient be in to pass NG tube

[@vanesslavigne2586]

Do you have tips for the insertion if the patient is intubated?

[@lmart16]

straight back, chin tuck them, go slow. hook up to suction and see the color of the aspirate. watch the o2. get an X-ray. shoot for 60cm.

[@aaronreeder5753]

Lube it up. And place an orogastric instead of NG.

[@dailydoseofmedicinee]

👍👍

[@MatrixAdic]

Theres actually another way to check without doing Ph level or X-ray, In my hospital They pump the syringe and use an stethoscope, If you hear a sound from the stomach that means its there Im not a nurse or doctor, but an patient had over 3 or 2 NG tube replacements and thats what they do

[@nived8476]

Listening for air in the stomach is very inaccurate. 1) it can be very difficult to hear, especially in larger patients, and 2) you can still hear an air bolus in the lungs and mistake placement. You should always get a bedside abdominal x-ray to confirm placement regardless if you do the aspiration or air bolus technique that way you avoid putting fluid in the lungs.

[@MatrixAdic]

@@nived8476 ive used 3 NG tubes and it worked perfectly fine

[@ahmeddawoud2963]

how to make sure that the tube is correct if i have a coma patient

[@aaronreeder5753]

Take a 60 cc syringe fulk of room air and attach to distal end of tube. Get stethoscope and auscultate over left upper quadrant of abdomen while pushing in the air from the syringe. You'll hear it if it is in the stomach. If you hear the bubbles/air then turn on some continuous suction, less then 80 mmhg pressure, and if you see gastric contents come out thw tube then you are in. Secure it to the nose really well and you are golden. An xray confirmation is technically best practice but highly unnecessary and waste of resources.

[@rimshaalvi3528]

what should be the position of patient after insertion of NG tube

[@aaronreeder5753]

I don't think it matters much. The important thing once placed is to secure it to the nose really well. If you don't have a securement device you can use skin prep to the nose then a tegaderm dressing over the tube and bridge of nose. Then additionally secure it to gown with safety pin and rubber band. Once it is secure, it's going to work. If you drain the stomach initially with continuous suction there really won't be much in there and so you can switch to intermittent suction. At this point, repositioning of the patient is good because the movement helps get the tube tip off the stomach wall and it moves around a little bit.

[@bruce9987]

If the patient has an obstruction and they haven't gone to the bathroom in 5,6,7or more days they could have 2,3,4 liters at this point like a patient I was working with last week the patient most likely has had emesis and possibility of hyperemesis, have the patient at least 30° at least until you remove all the excess gastric content so they do not aspirate . just like if you're running tube feeding at least 30° so the patient does not aspirate.

[@pamc401]

at my facility, we do a safety check when we give blood, two nurses must verify the patient name, DOB, ID number on the wrist band, blood type, expiration date, then we look at the bag to make sure the blood is all good. we use gloves and wash hands before starting the procedure, we also call the blood bank right as we are ready to hang the blood, because we have to hang it within 20 minutes. we also are in the patient's room for 15 minutes at the beginning of the transfusion in case of any reaction. VS before the transfusion, 5 minutes, then 15 minutes. if all is well, then the infusion goes from 75ml/hr to 125 ml's per hour for the transfusion duration. some good points here, but skipped a lot of steps. thanks.

[@karenmills1261]

This video is not on blood administration

[@lauracruz2021]

They're not giving blood though

[@harleykuhn8285]

COMMENT 666, Break the streak so I don't end up needing a NG tube.

[@faizmuhammadnursing8838]

Hi

[@faizmuhammadnursing8838]

Hi

[@User-lt7iy]

Isn't the ngtube insertion a sterile procedure ?

[@steph00p9]

We were told no, just use regular gloves.

[@mohammadmehrvarz2591]

No because nose and throat are full of bacteria anyway

[@melsue1026]

Nope! Stomach acid usually kills most, but anything with the mouth and nose, pretty much impossible to be sterile!

[@jaketaz2848]

No, because the NG passage itself is not sterile and is full of bacteria.

[@lmart16]

Negative.

[@sumi4502]

I don't think she has good hands. I pity her live patients

[@user-mh2ug9zf2c]

its good i am Ethiopian bsc nursing 3rd year student

[@user-mh2ug9zf2c]

its good i am Ethiopian bsc nursing 3rd year student