Wednesday, June 16, 2010

Removing a Nasogastric Tube

Assessment:

Verify that the tube is no longer needed and that the physician has ordered the removal. Check the physician’s order.

Planning:

Wash your hands. Obtain paper. Gather all materials needed, as follows: Clean gloves, Paper towels, towel and Oral hygiene tray.

Implementation:

Identify the patient. Explain to the patient that although removing the tube will be uncomfortable, it will be over quickly. Drape patients with a towel. If suction is operating, turn it off, and disconnect the tube. Put on gloves, and pinch the tube closed or plug it. Withdraw the tube smoothly in a continuous motion. Place the soiled tubing in the paper towel and cover it. Provide comfort, and give mouth care. Measure secretions in the collection container. Dispose of the equipment and gloves properly. Wash your hands.

Evaluation:

Evaluate using the following criteria; patient comfortable,and no abdominal distention present.

Documentation:

Document the time the tube was removed, the amount and description of material in the collection container, and the patient’s response to the procedure.

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