REMOVING A NASOGASTRIC TUBE
- Check physician’s order for removal of nasogastric tube.
- Explain procedure to patient and assist to semi-Fowler’s position.
- Gather equipment.
- Perform hand hygiene. Don clean disposable gloves.
- Place towel or disposable pad across patient’s chest. Give tissues to patient.
- Discontinue suction and separate tube from suction. Unpin tube from patient’s gown and carefully remove adhesive tape from patient’s nose.
- Attach syringe and flush with 10 mL normal saline solution or clean with 30 to 50 cc of air. (optional).
- Instruct patient to take a deep breath and hold it.
- Clamp tube with fingers by doubling tube on itself. Quickly and carefully remove tube while patient holds breath.
- Place tube in disposable plastic bag. Remove gloves and place in bag.
- Offer mouth care to patient and facial tissues to blow nose.
- Measure nasogastric drainage. Remove all equipment and dispose according to agency policy. Perform hand hygiene.
- Record removal of tube, patient’s response, and measure of drainage. Continue to monitor patient for 2 to 4 hours after tube removal for gastric distention, nausea, or vomiting.
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