NAME OF STUDENT: _______________________________ Date: ____________

ADMINISTERING NASOGASTRIC TUBE FEEDING

PARAMETERS SCORE
5 4 3 2 1
1. Check the physician’s order for the procedure
2. Assess for the following
 Any clinical signs of malnutrition or dehydration
 Allergies to any food in the feeding
 Presence of bowel sounds
 Any problems that suggest lack of tolerance of previous
feedings
3. Determine the type, amount, frequency of feedings and the
tolerance of previous feedings
4. Assemble equipments
 Correct amount of feeding solution
 50 cc syringe/asepto syringe
 Emesis basin
 Stethoscope
 Water at room temperature (60 ml, unless otherwise
specified)
5. Introduce yourself and verify the client’s identity. Explain
the procedure to the client. Wash hands.
6. Assist the client to a fowler’s position in bed, or sitting
position in a chair. If a sitting position is contraindicated,
slightly elevated right side-lying position is acceptable
7. Unpin the tube from the client’s gown and aspirate the tube
for gastric contents
8. Measure the pH of the aspirated fluid or if unable to
aspirate, introduce 15 to 20 ml of air through the feeding
tube while auscultating the epigastrium. A “whoosing”
sound is heard when the NGT is in place
9. Aspirate all and measure the amount of residual gastric
contents
 Check the agency policy for the handling of residual volume
10. Return the aspirated gastric contents to the stomach
11. Administer the feeding
USING ASEPTO SYRINGE
 Remove the bulb from the syringe and attach the syringe to
a clamped NGT
 Still pinching the tube, pour a part of the feeding formula
holding the asepto syringe not more than 18 inches.
 Adjust the flow by lowering or raising the syringe
 Refill the syringe until feeding is completed
  After the formula is completely administered, flush the tube
with approximately 30 cc of water
USING A FEEDING BAG
 Hang the bag in the IV pole and clamp the tubing. Pour the
formula into the bag if not prefilled
 Run the formula to remove excess air in the tubing.
Reclamp the tube when all the air is removed
 Connect the feeding bag to the NGT and regulate the drip
with the clamp
 Flush the tube with approximately 30 cc of water
USING A PREFILLED BOTTLE
 Remove the cap form the bottle and screw on the cap with
the attached tubing
 Close the clamp of the tubing and hang the bottle in the IV
pole
 Fill the drip chamber half full and replace the air for the
tubing
 Connect the tubing to the nasogastric tube and adjust the
drip rate
 When feeding is completed, replace the bottle tubing with
asepto syringe and flush the nasogastric tube with 30 cc
water. Be careful not to introduce air into the tubing
12. Clamp or plug the tube when feeding is completed
13. Instruct the client to remain in his position (semi-fowler’s
position) for 30 minutes or in a lateral position with the
right side slightly elevated
 If the client is unconscious, position the head to one side
14. Document the date and time you administered the feeding;
the volume, type of formula administered; method used to
check the potency of tubing; the amount of residual volume;
the amount of water administered to flush the formula;
client’s reaction and tolerance to the tube feeding
TOTAL ___________(70)

SCORE:
COMMENTS/SUGGESTIONS

_________________________
NAME & SIGNATURE OF CLINICAL INSTRUCTOR/ EVALUATOR

DATE: _________________________________
NAME OF STUDENT: _______________________________ Date: ____________

REMOVING A NASOGASTRIC TUBE

PARAMETERS SCORE
5 4 3 2 1
1. Check the physician’s order for the procedure
2. Assemble equipment
 Disposable pad or towel
 Tissue
 Clean gloves
 50 ml syringe (optional)
3. Introduce yourself and verify your client’s identity. Explain
carefully the procedure to the client
4. Assist the client to a sitting position, if health permits. Place
the disposable pad or towel across the client’s chest
5. Unpin the tube from the gown and loosen the tape securing
the tube
6. Don gloves and instructs the client to inhale deeply and hold
it.
7. Pinch the tube near the nostrils and gently pull tube steadily
and continuously
8. Discard the tube immediately into the plastic disposable bag
9. Provide mouth care (if desired)
10. Document the removal of the tube, the amount and
appearance of any drainage, if the tube was connected to
suction, and any relevant assessments of the client
TOTAL ___________(50)

SCORE:
COMMENTS/SUGGESTIONS

NAME & SIGNATURE OF CLINICAL INSTRUCTOR/ EVALUATOR

DATE: _________________________________