Today our topic of discussion is General Instruction of Nasogastric Insertion.
General Instruction of Nasogastric Insertion
General Instructions
- Tube: The tip of the tube is lubricated with sterile paraffin or jelly (distal 10-15 cm of the tip is lubricated with water soluble lubricant). Nose: Wider nostril is selected. Nostril is cleaned with pledget of cotton wool, moistened with savlon in water
- Patients: Sitting position or, when the patient lying, the head should be flexed by one hand
- Sterilization:
- Gamma-rays irradiation at the Bhabha Atomic Research Centre
- Ethylene oxide gas sterilization
- Boiling (ideally, Ryle’s tube should be cleaned with water, it is not necessary to sterilize it).
Preliminary Assessment
- Check the physicians order
- Check the progress notes and nursing care plan
- Check the level of consciousness and ability to follow directions
- Check the ability for self-care
- Check the articles available in patients unit
- Position the patient in supine.
Preparation of Patient and Environment
- Explain the procedure to patient, if patient is conscious
- Explain the sequence of procedure and explain how patient can cooperate to you
- Provide privacy
- Provide safe and comfortable position
- Place Mackintosh and face towel across chest
- Allow the patient to adjust kidney tray according to his convenience
- Remove dentures if any Arrange articles near to bed
- Give a mouth wash and help him to clean teeth
- Clean the nostrils, if there is any secretion.
Equipment
- Sterile gloves (Fig. 28.40A)
- Aseptoc syringe (Fig. 28.40B)
- Nasogastric tubes (Fig. 28.40C)
- Water based lubricating jelly (Fig. 28.40D)
- Cup of water or ice chips (Fig. 28.40E)
- Bile bag or drainage bag (Fig. 28.40F)
- Stethoscope (Fig. 28.40G)
- Securing device or tape (Fig. 28.40H)
- Specimen container
- Container
- Soap and water.
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