Skill Checklists for Taylor's Clinical Nursing Skills: A Nursing Process Approach

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Copyright © 2011 by Wolters Kluwer Health | Lippincott Williams & Wilkins. Skill Checklists for Taylor's Clinical Nursing Skills:

Skill Checklists for Taylor's Clinical Nursing Skills:

A Nursing Process Approach, 3rd edition

Name Date

Unit Position

Instructor/Evaluator: Position

SKILL 11-4

Removing a Nasogastric Tube

Goal:The tube is removed with minimal discomfort to the

patient, and the patient maintains an adequate nutritional intake. Comments

1. Check medical order for removal of NG tube.


2. Perform hand hygiene and put on PPE, if indicated.


3. Identify the patient.


4. Explain the procedure to the patient and why this interven-
   tion is warranted. Describe that it will entail a quick few
   moments of discomfort. Perform key abdominal assessments
   as described above.


5. Pull the patient’s bedside curtain. Raise bed to a comfortable
   working position, usually elbow height of the caregiver
   (VISN 8, 2009). Assist the patient into a 30- to 45-degree
   position. Place towel or disposable pad across patient’s
   chest. Give tissues and emesis basin to patient.


6. Put on gloves. Discontinue suction and separate tube from
   suction. Unpin tube from patient’s gown and carefully
   remove adhesive tape from patient’s nose.


7. Check placement (as outlined in Skill 11-2) and attach
   syringe and flush with 10 mL of water or normal saline
   solution (optional) or clear with 30 to 50 mL of air.
   8.Clamp tube with fingers by doubling tube on itself. Instruct
   patient to take a deep breath and hold it. Quickly and
   carefully remove tube while patient holds breath.Coil the
   tube in the disposable pad as you remove from the patient.


8. Dispose of tube per agency policy. Remove gloves and
   place in bag. Perform hand hygiene.


9. Offer mouth care to patient and facial tissue to blow nose.
   Lower the bed and assist the patient to a position of com-
   fort as needed.


10. Remove equipment and raise side rail and lower bed.


11. Put on gloves and measure the amount of nasogastric
    drainage in the collection device and record on output flow
    record, subtracting irrigant fluids if necessary. Add solidify-
    ing agent to nasogastric drainage according to hospital
    policy.


12. Remove additional PPE, if used. Perform hand hygiene.

ExcellentSatisfactoryNeeds Practice

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